Provider Type Icon

MENTAL HEALTH ASSOCIATION OF BENTON COUNTY NPI 1134374390


NPI Information

NPI: 1134374390
Provider Name: MENTAL HEALTH ASSOCIATION OF BENTON COUNTY

Doing Business As: JANUS HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 38D2290088

Address:
606 SW 5TH ST
CORVALLIS, OR
ZIP 97333
Phone: (541) 753-9219
Get Directions

MENTAL HEALTH ASSOCIATION OF BENTON COUNTY is a community based residential treatment facility mental illness in Corvallis, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MENTAL HEALTH ASSOCIATION OF BENTON COUNTY NPI is 1134374390. The provider is registered as an organization entity type.
The provider Is Doing Business As Janus House.

The provider's business location address is:

606 SW 5TH ST
CORVALLIS, OR
ZIP 97333-418
Phone: (541) 753-9219
Fax: (541) 753-5368

The provider's authorized official is William A Mcclenaghan .
The authorized official title is Director and has the following contact phone number (541) 753-9219.

The CLIA number assigned to this NPI record is 38D2290088 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness928OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.