<Unavail>

LBN: Polk County Mental Health
<Unavail> is an health care organization with primary practice located at 557 21St St Se , Salem OR 97301-6526. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Polk County Mental Health can be contacted via phone (503) 991-0226, or through Klein, Susan Marie via phone (503) 623-9289.

Contact Information

Primary practice address
557 21St St Se Salem OR 97301-6526
Phone: (503) 991-0226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klein, Susan Marie CADC-II QMHA BS
Phone: (503) 623-9289

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 04-R-19 Oregon

Profile Details

NPI number 1295857977
LBN Legal business name Polk County Mental Health
DBA Doing business as <Unavail>
Authorized official Klein, Susan Marie CADC-II QMHA BS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Aug 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295857977 NPPES
Oregon Other 04-R-19 CADC-II ID NUMBER

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