TELECARE MENTAL HEATLH SERVICE OF OREGON INC NPI 1871801704

NPI Information

NPI: 1871801704
Provider Name: TELECARE MENTAL HEATLH SERVICE OF OREGON, INC

Doing Business As: TELECARE DESCHUTES COUNTY RECOVERY CENTER

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
20370 POE SHOLES RD
BEND, OR
ZIP 97701
Phone: (541) 318-1377
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TELECARE MENTAL HEATLH SERVICE OF OREGON, INC is a community based residential treatment facility mental illness in Bend, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TELECARE MENTAL HEATLH SERVICE OF OREGON, INC NPI is 1871801704. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Deschutes County Recovery Center.

The provider's business location address is:

20370 POE SHOLES RD
BEND, OR
ZIP 97701-938
Phone: (541) 318-1377
Fax: (541) 383-4587

The provider's authorized official is Marshall Langfeld .
The authorized official title is Svp, Cfo and has the following contact phone number (541) 318-1377.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 4/25/2011.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				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	500632287	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: 11/14/2023

NPI Synchronization or Removal

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