NPIMap

Organization Active NPI

Umatilla County Alcohol & Drug Program

  • Community/Behavioral Health Agency
  • Pendleton, OR
National Provider Identifier
1629127584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UMATILLA COUNTY ALCOHOL & DRUG PROGRAM
Practice address
200 SE Hailey Ave
Suite 203
Pendleton, OR 97801-3073
Phone
(541) 278-6330
Fax
(541) 278-5419
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. CR Mason, CADC
Title
Program Administration
Phone
(541) 278-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OR Primary

Addresses

Primary practice location

200 SE Hailey Ave
Suite 203
Pendleton, OR 97801-3073

Mailing address

200 SE Hailey Ave
Suite 203
Pendleton, OR 97801-3073
Phone (541) 278-6330

Other identifiers 1

IdentifierTypeStateIssuer
184028MedicaidOR

Other names 1

  • Umatilla County Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Public Health of Umatil3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 SE Hailey Ave
Ste 203
Pendleton, OR 97801
Phone (541) 278-6330

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629127584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE",
            "address_2": "SUITE 203",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013073",
            "telephone_number": "541-278-6330",
            "fax_number": "541-278-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE",
            "address_2": "SUITE 203",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013073",
            "telephone_number": "541-278-6330",
            "fax_number": "541-278-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMATILLA COUNTY ALCOHOL & DRUG PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CR",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATION",
        "authorized_official_telephone_number": "541-278-6330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184028",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umatilla County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.