ADAPT NPI 1649453440

NPI Information

NPI: 1649453440
Provider Name: ADAPT

Other Name: THE CROSSROADS

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR
ZIP 97470
Phone: (541) 673-3469
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ADAPT is a substance abuse rehabilitation facility in Roseburg, 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. ADAPT NPI is 1649453440. The provider is registered as an organization entity type.
The provider Other Name Is The Crossroads.

The provider's business location address is:

3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR
ZIP 97470-655
Phone: (541) 673-3469
Fax: (541) 672-8072

The provider's authorized official is Bruce Piper .
The authorized official title is Ceo and has the following contact phone number (541) 672-2691.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.

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	324500000X	Substance Abuse Rehabilitation Facility				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	0000WCTBZ	MEDICARE PIN	OREGON
2	218156	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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