NPIMap

Organization Active NPI

Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
National Provider Identifier
1841443587
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CLACKAMAS COUNTY
Practice address
150 Beavercreek Rd
Oregon City, OR 97045-4302
Phone
(503) 655-8401
Fax
(503) 655-8429
NPI assigned
Oct 28, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sarah Jacobson
Title
Director Interim
Phone
(503) 201-1890

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 262

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

View all 262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

All facility ownership & control disclosures 7

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clackamas Health Centers - Sandy ClinicSandy, OR, CCN 381870 Federally qualified health center Operational/Managerial Control Dec 13, 2010
Clackamas Health CentersOregon City, OR, CCN 381820 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2014
Jan 1, 2014
Clackamas Health CentersGladstone, OR, CCN 381923 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2014
Sep 1, 2010
Lake Road Health CenterMilwaukie, OR, CCN 381922 Federally qualified health center Operational/Managerial Control (100%) Aug 28, 2006
Clackamas Health CentersClackamas, OR, CCN 381931 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2014
Jan 1, 2014
Clackamas Health Centers - Sandy Health ClinicSandy, OR, CCN 381936 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2014
Jan 28, 2013
Clackamas Health CentersOregon City, OR, CCN 381944 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1990
Jan 1, 1990

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031210000827 OR Part B Supplier - Clinic/Group Practice 9537065560 Receives reassigned benefits from 128 practitioners
3 other NPIs on this enrollment
Practice locations: Oregon City, OR; Sandy, OR; Milwaukie, OR; Clackamas, OR; Happy Valley, OR

National Provider Directory

National Provider Directory

Locations

998 Courthouse Rd
Oregon City, OR 97045
Phone (503) 655-8470

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

150 Beavercreek Rd
Oregon City, OR 97045-4302

Mailing address

2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Phone (503) 742-5300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
022710MedicaidOR

Other names 2

NPPES NPI Registry
  • DSB Behavioral Health Doing business as
  • Hilltop Behavioral Health Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2022.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1841443587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "SUITE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300",
            "fax_number": "503-655-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BEAVERCREEK RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454302",
            "telephone_number": "503-655-8401",
            "fax_number": "503-655-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR INTERIM",
        "authorized_official_telephone_number": "503-201-1890"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022710",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSB Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilltop Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilltop Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.