NPIMap

Organization Active NPI

Klamath Youh Department Center

  • Community/Behavioral Health Agency
  • Klamath Falls, OR
National Provider Identifier
1740573146
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KLAMATH YOUH DEPARTMENT CENTER
Practice address
2210 Eldordo Ave
Klamath Falls, OR 97601
Phone
(541) 883-1030
Fax
(541) 884-2338
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Bonnie K Otero, BACHELOR
Title
Icts Respitecare
Phone
(541) 882-1030

Specialties & licenses 1

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

Addresses

Primary practice location

2210 Eldordo Ave
Klamath Falls, OR 97601

Mailing address

2210 Eldordo Ave
Klamath Falls, OR 97601
Phone (541) 883-1030

National Provider Directory

National Provider Directory
Tax ID family
Klamath Child and Family Treatment Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1740573146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 ELDORDO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-883-1030",
            "fax_number": "541-884-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ELDORDO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-883-1030",
            "fax_number": "541-884-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH YOUH DEPARTMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ICTS RESPITECARE",
        "authorized_official_telephone_number": "541-882-1030",
        "authorized_official_credential": "BACHELOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

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