NPIMap

Organization Active NPI

County of Tillamook

  • Prison Health Clinic/Center
  • Tillamook, OR
National Provider Identifier
1891173407
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF TILLAMOOK
Practice address
5995 Long Prairie Rd
Tillamook, OR 97141-9689
Phone
(503) 842-3900
Fax
(503) 842-3903
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Marlene L Putman
Title
Administrator
Phone
(503) 842-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

5995 Long Prairie Rd
Tillamook, OR 97141-9689

Mailing address

801 Pacific Ave
Tillamook, OR 97141-3926
Phone (503) 842-3900

Other names 1

  • Tillamook County Health Department Doing business as

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
38D1045829Tillamook County Correctional Facility5995 Long Prairie Rd, Tillamook, OR 97141Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Tillamook6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

801 Pacific Ave
Tillamook, OR 97141
Phone (503) 842-3900

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1891173407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 LONG PRAIRIE RD",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419689",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TILLAMOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-842-3900"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillamook County Health Department",
            "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 May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.