Lane County Oregon
Organization Active NPI Case Management Agency · Eugene, OR
NPI 1811941503 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1811941503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- LANE COUNTY OREGON
- Practice address
- 151 W 7TH Ave Ste 560
Eugene, OR 97401-1100 - Phone
- (541) 682-3378
- Fax
- (541) 682-9804
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Michelle Lynn Peterson
- Title
- Credentialing Coordinator
- Phone
- (541) 682-7987
Other NPIs on the same Medicare enrollment 1
Member organizations 2
Practitioners 5
-
Sahlea Tubbeh, CHW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000023 | OR | Part B Supplier - Clinic/Group Practice | 7416853833 |
Receives reassigned benefits from 164 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eugene, OR; Springfield, OR; Cottage Grove, OR |
National Provider Directory
Locations
151 W 7th Ave
Ste 560
Eugene, OR 97401
Phone (458) 217-4686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
151 W 7TH Ave Ste 560
Eugene, OR 97401-1100
Mailing address
151 W 7TH Ave Ste 560
Eugene, OR 97401-1100
Phone (541) 682-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500846176 | Medicaid | OR |
Other names
- Human Services Division
Other providers in Eugene, OR
- Lane County Bounty, LLC
- Lane County Community Health Centers
- Lane County Midwives
- Lane County Oregon
- Lane County Oregon
- Lane County School District #52
- Lane County School District 4J
- Lane County Treatment Center
- Lane County Youth Services
- Lane Education Service District
All providers in Eugene, OR · Case Management Agency in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.