Active NPI
Out West Properties, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Tillamook, OR
National Provider Identifier
1790104941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 507204
- Legal business name
- OUT WEST PROPERTIES, INC.
- Practice address
- 2411 9TH St
Tillamook, OR 97141-4015 - Phone
- (503) 842-1259
- NPI assigned
- Apr 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan Stewart
- Title
- President
- Phone
- (503) 842-1259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 507204 | OR | Primary |
Addresses
Primary practice location
2411 9TH St
Tillamook, OR 97141-4015
Mailing address
2411 9TH St
Tillamook, OR 97141-4015
Phone (503) 842-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507204 | Medicaid | OR |
Other names 1
- Stewart House
National Provider Directory
National Provider Directory- Tax ID family
- Out West Properties Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Tillamook, OR
- NPI 1083881346
-
- Community/Behavioral Health Agency
- Tillamook, OR
- NPI 1730639816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397520000000",
"number": "1790104941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 9TH ST",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971414015",
"telephone_number": "503-842-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 9TH ST",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971414015",
"telephone_number": "503-842-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUT WEST PROPERTIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-842-1259"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "OR",
"license": "507204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507204",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stewart House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tillamook, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.