NPIMap

Organization Active NPI

Boys & Girls Club of Albany

  • Community/Behavioral Health Agency
  • Albany, OR
National Provider Identifier
1669757142
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOYS & GIRLS CLUB OF ALBANY
Practice address
1215 Hill St SE
Albany, OR 97322-3238
Phone
(541) 926-6666
Fax
(541) 926-0531
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Danielle Lynn Smith
Title
Health Service Coordinator
Phone
(541) 926-6666

Specialties & licenses 1

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

Addresses

Primary practice location

1215 Hill St SE
Albany, OR 97322-3238

Mailing address

1215 Hill St SE
Albany, OR 97322-3238
Phone (541) 926-6666

National Provider Directory

National Provider Directory

Locations

1215 Hill St SE
Albany, OR 97322
Phone (541) 926-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1669757142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HILL ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223238",
            "telephone_number": "541-926-6666",
            "fax_number": "541-926-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HILL ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223238",
            "telephone_number": "541-926-6666",
            "fax_number": "541-926-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS & GIRLS CLUB OF ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "HEALTH SERVICE COORDINATOR",
        "authorized_official_telephone_number": "541-926-6666"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.