Hawks Mountain Enterprises LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HAWKS MOUNTAIN ENTERPRISES LLC

Practice address

1404 SE Mill St
Roseburg, OR 97470-4008

Phone

(541) 492-1340

Fax

(541) 492-1339

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Robert Harry Luck

Title

Owner

Phone

(541) 492-1340

Specialties & licenses 1

Addresses

Other names 1

• Mill Street Psychiatric Doing business as

Locations

Practitioners 1

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

• Janus Maybee, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseburg, OR
  • NPI 1255327151
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1720329329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SE MILL ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704008",
            "telephone_number": "541-492-1340",
            "fax_number": "541-492-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SE MILL ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704008",
            "telephone_number": "541-492-1340",
            "fax_number": "541-492-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKS MOUNTAIN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-492-1340"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Street Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Hatfield
• Candace Marie Hatton, FNP
• Natasha D Hausotter, CHW
• Virginia M Hawes, MD
• Carmaleeta Quintella Hawkins
• Jennifer Ann Hawks, PHYSICAL THERAPIST
• Emma Haworth, CCC-SLP
• Brian Eugene Hayes, M.D.
• Christine Lauren Hayes
• Dora Haymond, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.