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SHELTERCARE NPI 1376690107


NPI Information

NPI: 1376690107
Provider Name: SHELTERCARE

Former Legal Business Name: LANE SHELTERCARE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
499 W 4TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 686-1262
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SHELTERCARE is a mental health counselor in Eugene, OR. SHELTERCARE NPI is 1376690107. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lane Sheltercare.

The provider's business location address is:

499 W 4TH AVE
EUGENE, OR
ZIP 97401-505
Phone: (541) 686-1262
Fax: (541) 686-0359

The provider's authorized official is Karen Etter .
The authorized official title is Controller and has the following contact phone number (541) 686-1262.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/6/2017.


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 IllnessNo
2101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1509352MEDICAIDOREGON
2509446MEDICAIDOREGON
3223701MEDICAIDOREGON

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

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