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ANCHORS OF HOPE LLC NPI 1568015048


NPI Information

NPI: 1568015048
Provider Name: ANCHORS OF HOPE, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9252 S. SCHOONER CREEK RD
OTIS, OR
ZIP 97368
Phone: (541) 921-1504
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ANCHORS OF HOPE, LLC is a mental health (including community mental health center) clinic center in Otis, OR. ANCHORS OF HOPE, LLC NPI is 1568015048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9252 S. SCHOONER CREEK RD
OTIS, OR
ZIP 97368
Phone: (541) 921-1504
Fax: (620) 682-9840

The provider's authorized official is Laurie J Doehass-imel .
The authorized official title is Managing Member and has the following contact phone number (541) 921-1504.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 12/6/2022.


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
11041C0700XSocial WorkerClinicalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
1201271870AMEDICAIDKANSAS
2201271870AOTHERKANSASKMAP
3300046763635MEDICAIDKANSAS

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

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