KLAMATH HEALTH PARTNERSHIP INC NPI 1417411505

NPI Information

NPI: 1417411505
Provider Name: KLAMATH HEALTH PARTNERSHIP, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2210 N ELDORADO AVE STE A
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 883-1030
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KLAMATH HEALTH PARTNERSHIP, INC is a federally qualified health center (fqhc) clinic center in Klamath Falls, OR. KLAMATH HEALTH PARTNERSHIP, INC NPI is 1417411505. The provider is registered as an organization entity type.

The provider's business location address is:

2210 N ELDORADO AVE STE A
KLAMATH FALLS, OR
ZIP 97601-418
Phone: (541) 883-1030

The provider's authorized official is Jeana Masters .
The authorized official title is Cpes and has the following contact phone number (541) 880-2011.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 8/6/2020.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	Other Provider Identifier Issuer
1	170061	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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