NPIMap

Organization Active NPI

Brookings Community Resource Response

Doing business as Brookings CORE Response

  • Community Health Worker
  • Brookings, OR
National Provider Identifier
1558029447
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
BROOKINGS COMMUNITY RESOURCE RESPONSE
Doing business as
Brookings CORE Response
Practice address
97900 Shopping Center Ave # 31
Brookings, OR 97415-9412
Phone
(541) 251-0825
Fax
(541) 813-3616
NPI assigned
Dec 7, 2021
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mrs. Diana Cooper, CHWNPI 1548928435
Title
Executive Director
Phone
(541) 251-0825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

97900 Shopping Center Ave # 31
Brookings, OR 97415-9412

Mailing address

PO Box 4160
Brookings, OR 97415-0058
Phone (541) 251-0825

Other names 1

  • Brookings CORE Response Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinic@brookingscoreresponse.org Direct

National Provider Directory

National Provider Directory

Locations

97900 Shopping Center Ave
#31
Brookings, OR 97415
Phone (541) 251-0825

Interoperability endpoints

  • Direct secure messaging: clinic@brookingscoreresponse.org

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1558029447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4160",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150058",
            "telephone_number": "541-251-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97900 SHOPPING CENTER AVE # 31",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159412",
            "telephone_number": "541-251-0825",
            "fax_number": "541-813-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKINGS COMMUNITY RESOURCE RESPONSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-251-0825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHW"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinic@brookingscoreresponse.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "97900 Shopping Center Ave # 31",
            "city": "Brookings",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974159412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brookings CORE Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookings CORE Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.