Clatskanie School Based Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CLATSKANIE SCHOOL BASED HEALTH CENTER

Practice address

471 SW Belair Dr
Clatskanie, OR 97016-7415

Phone

(503) 325-8315

Fax

(503) 468-0193

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL FAMILY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Wendy Gilmore

Title

Cfo

Phone

(503) 325-8315

Specialties & licenses 1

Addresses

Tax ID family

Clatskanie School Based Health Center2 organizations share this tax ID, including this one

Part of

Clatskanie School Based Health Center

Other organizations with this tax ID 1

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

• Coastal Family Health Center

  dba Clatskanie School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Clatskanie, OR
  • NPI 1801284914
  NPD tax ID

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1871971879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971030239",
            "telephone_number": "503-325-8315",
            "fax_number": "503-468-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 SW BELAIR DR",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970167415",
            "telephone_number": "503-325-8315",
            "fax_number": "503-468-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLATSKANIE SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL FAMILY HEALTH CENTER",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-325-8315"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clatskanie Family Chiropractic
• Clatskanie Family Health Center
• Clatskanie Family Medical Clinic, Inc.
• Clatskanie of Olympus, LLC
• Clatskanie Rural Fire Protection District
• Clatskanie School District
• Clatskanie School District 6J
• Coastal Family Health Center (Community Health Center of Clatskanie)
• Coastal Family Health Center (Clatskanie School Based Health Center)
• Connie M. Davis, CPNP

• Federally Qualified Health Center (FQHC) in Clatskanie, OR
• Providers in Clatskanie, OR by specialty
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.