WILLAMETTE FAMILY INC NPI 1376546291

NPI Information

NPI: 1376546291
Provider Name: WILLAMETTE FAMILY, INC

Former Legal Business Name: WILLAMETTE FAMILY TREATMENT SERVICES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
687 CHESHIRE AVE
EUGENE, OR
ZIP 97402
Phone: (541) 684-4100
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WILLAMETTE FAMILY, INC is a substance abuse rehabilitation facility in Eugene, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WILLAMETTE FAMILY, INC NPI is 1376546291. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Willamette Family Treatment Services.

The provider's business location address is:

687 CHESHIRE AVE
EUGENE, OR
ZIP 97402-060
Phone: (541) 684-4100
Fax: (541) 684-4156

The provider's authorized official is Jennifer Lynn Lewis .
The authorized official title is Billing Manager and has the following contact phone number (541) 914-1036.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 11/10/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health			OREGON	No
2	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children			No
3	251V00000X	Voluntary or Charitable		1739	OREGON	No
4	261QC1500X	Clinic/Center	Community Health			No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
6	324500000X	Substance Abuse Rehabilitation Facility			OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	008891	MEDICAID	OREGON
2	500678005	MEDICAID	OREGON
3	247573	MEDICAID	OREGON

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

NPI Synchronization or Removal

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