Christian Community Placement Center in Salem - Residential Treatment Facility, Emotionally Disturbed Children
Christian Community Placement Center - NPI 1174698971
Christian Community Placement Center is a Residential Treatment Facility, Emotionally Disturbed Children in Salem, Oregon. Christian Community Placement Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Christian Community Placement Center is 1174698971. The last update date is 2018-05-11.
Christian Community Placement Center's current location address is 4890 32nd Ave Se, Salem, Oregon. You can contact this provider via phone number 5035885647 and fax number 5035880509. The mailing address for Christian Community Placement Center is 4890 32nd Ave Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Christian Community Placement Center |
|---|---|
| Address | 4890 32nd Ave Se, Salem, Oregon |
| Phone Number | 5035885647 |
| Fax Number | 5035880509 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lute Ann Debohra |
| Telephone Number | 5035885647 |
NPI Number Detail
| NPI Number | 1174698971 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2018-05-11 |
Provider Mailing Address Detail
| Address | 4890 32nd Ave Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 97317 |
| Phone Number | 5035885647 |
| Fax Number | 5035880509 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 240040 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Christian Community Placement Center by the Centers for Medicare & Medicaid Services (CMS)?
The Christian Community Placement Center has been assigned the NPI (National Provider Identifier) 1174698971. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Christian Community Placement Center's facilities are situated?
The facilities of Christian Community Placement Center are physically located at the following address: 4890 32Nd Ave Se, Salem, OR, 97317.
What is Christian Community Placement Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christian Community Placement Center's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174698971 to Christian Community Placement Center?
The Centers for Medicare & Medicaid Services originally issued the 1174698971 to Christian Community Placement Center on 2006-11-21.
As of what date was the information pertaining to Christian Community Placement Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Christian Community Placement Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-11.
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