The City of Newport 60 Plus Activity Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE CITY OF NEWPORT 60 PLUS ACTIVITY CENTER

Practice address

20 SE 2ND St
Newport, OR 97365

Phone

(541) 574-0459

NPI assigned

Feb 6, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James A Protiva, CPRC

Title

Parks & Rec Director

Phone

(541) 265-4855

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1518405091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SE 2ND ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-574-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SE 2ND ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-574-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CITY OF NEWPORT 60 PLUS ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PROTIVA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARKS & REC DIRECTOR",
        "authorized_official_telephone_number": "541-265-4855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPRC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Tanner
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• Tayesa Michelle Tegner, QMHA
• Randall Teich, DDS
• The Eye Center LLC
• Thomas E Deblois
• Renita L Thomas, LPC
• Ashlee Ann Thompson, RN
• Thrifty Payless Inc (Rite Aid Pharmacy 05370)

• Voluntary or Charitable Agency in Newport, OR
• Providers in Newport, OR by specialty
• Voluntary or Charitable Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.