Organization Active NPI

County of Umatilla

  • Public Health or Welfare Agency
  • Pendleton, OR
National Provider Identifier
1881630713
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF UMATILLA
Practice address
200 SE 3Rd St
Pendleton, OR 97801-2503
Phone
(541) 278-5432
Fax
(541) 278-5433
NPI assigned
Jun 21, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Alisha Lundgren
Title
Deputy Director
Phone
(541) 278-5432

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X OR
Public Health or Welfare Agency 251K00000X OR Primary
Ambulatory Family Planning Facility 261QA0005X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU

Addresses

Primary practice location

200 SE 3Rd St
Pendleton, OR 97801-2503

Mailing address

200 SE 3Rd St
Pendleton, OR 97801-2503
Phone (541) 278-5432

Other practice location 1

180 NE 2nd St Suite 023
Hermiston, OR 97838-1860
Phone (541) 567-3113

Other identifiers 3

IdentifierTypeStateIssuer
042999MedicaidOR
097154MedicaidOR
320226MedicaidOR

Other names 1

  • Umatilla County Public Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202002397 OR Part B Supplier - Clinic/Group Practice 6406828714 Receives reassigned benefits from 1 practitioner
Practice locations: Hermiston, OR; Pendleton, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0666428Umatilla County Health Department200 SE 3Rd St, Pendleton, OR 97801Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

180 NE 2nd St
Ste 23
Hermiston, OR 97838
Phone (541) 567-3113

435 E Newport Ave
Hermiston, OR 97838
Phone (541) 564-9390

721 SE 3rd St
Ste B
Pendleton, OR 97801
Phone (541) 278-5411

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1881630713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 3RD ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012503",
            "telephone_number": "541-278-5432",
            "fax_number": "541-278-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE 3RD ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012503",
            "telephone_number": "541-278-5432",
            "fax_number": "541-278-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 NE 2nd St Suite 023",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978381860",
            "country_code": "US",
            "telephone_number": "541-567-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF UMATILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "541-278-5432"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042999",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097154",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320226",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umatilla County Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.