KLAMATH HEALTH PARTNERSHIP INC NPI 1548999667

NPI Information

NPI: 1548999667
Provider Name: KLAMATH HEALTH PARTNERSHIP INC

Doing Business As: PINE STREET OPEN DOOR

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
403 PINE ST
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 851-8110
Get Directions

KLAMATH HEALTH PARTNERSHIP INC is a federally qualified health center (fqhc) clinic center in Klamath Falls, OR. KLAMATH HEALTH PARTNERSHIP INC NPI is 1548999667. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Street Open Door.

The provider's business location address is:

403 PINE ST
KLAMATH FALLS, OR
ZIP 97601-020
Phone: (541) 851-8110

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

The CLIA number assigned to this NPI record is 38D2167367 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/6/2022 and was last updated on 2/6/2023.

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	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	R101150	OTHER	OREGON	MEDICARE-B
2	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: 5/5/2024

NPI Synchronization or Removal

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