Malheur County

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MALHEUR COUNTY

Practice address

1108 SW 4TH St
Ontario, OR 97914-4305

Phone

(541) 889-7279

Fax

(541) 889-8468

NPI assigned

Dec 6, 2023

Organization subpart

Yes

Parent organization

MALHEUR COUNTYAs reported in NPPES

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

Authorized official

Name

Leah Wishard

Title

Biller

Phone

(541) 889-7279

Specialties & licenses 4

Addresses

Tax ID family

Malheur County Mental H2 organizations share this tax ID, including this one

Part of

Malheur County Mental H

Other organizations with this tax ID 1

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

• Malheur County

  • State or Local Public Health Clinic/Center
  • Ontario, OR
  • NPI 1417087297
  NPD tax ID

Locations

Practitioners 1

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

• Lindsay Reay Grosvenor, RD

  • Registered Dietitian
  • Ontario, OR
  • NPI 1982029641
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1730956178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SW 4TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144305",
            "telephone_number": "541-889-7279",
            "fax_number": "541-889-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SW 4TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144305",
            "telephone_number": "541-889-7279",
            "fax_number": "541-889-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALHEUR COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MALHEUR COUNTY",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "WISHARD",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "541-889-7279"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Jill Mackenzie, LPC
• Genelle Jo Mackey, MSW
• Karmin Renae Maher, NP
• Robert A Mairs, DO
• Malheur County
• Joni Mansfield
• Marc Iseri MD PC
• Jose Marquez
• Stephanie Jo Martin
• Alexandra Martinez

• Case Manager/Care Coordinator in Ontario, OR
• Providers in Ontario, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.