Jasper Mountain in Jasper - Respite Care, Mental Illness, Child

Jasper Mountain - NPI 1497821680

Jasper Mountain is a Respite Care, Mental Illness, Child in Jasper, Oregon. Jasper Mountain practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Jasper Mountain is 1497821680. The last update date is 2009-09-07.

Jasper Mountain's current location address is 37875 Jasper Lowell Rd, Jasper, Oregon. You can contact this provider via phone number 5417471235 and fax number 5417474722. The mailing address for Jasper Mountain is 37875 Jasper Lowell Rd, Jasper, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jasper Mountain
Address 37875 Jasper Lowell Rd, Jasper, Oregon
Phone Number 5417471235
Fax Number 5417474722
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Landauer Donald
Telephone Number 5417471235

NPI Number Detail

NPI Number 1497821680
Provider Enumeration Date 2006-11-28
Last Updated Date 2009-09-07

Provider Mailing Address Detail

Address 37875 Jasper Lowell Rd
City Jasper
State Oregon (OR)
Post Code 974389751
Phone Number 5417471235
Fax Number 5417474722

Provider's Primary Taxonomy Detail

Speciality Respite Care, Mental Illness, Child
Taxonomy 385Hr2055X
Definition:
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
313495 OR --
178087 OR --

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FAQs about Jasper Mountain

What is the unique identifier code issued to Jasper Mountain by the Centers for Medicare & Medicaid Services?

The Jasper Mountain has been assigned the NPI (National Provider Identifier) 1497821680. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jasper Mountain is physically located?

The Jasper Mountain is situated at the following address: 37875 Jasper Lowell Rd, Jasper, OR 974389751.

What is Jasper Mountain's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jasper Mountain is Respite Care, Mental Illness, Child, and the taxonomy classification code that categorizes this area of expertise is 385Hr2055X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497821680 to Jasper Mountain?

The Centers for Medicare & Medicaid Services originally issued the 1497821680 to Jasper Mountain on 2006-11-28.

As of what date was the information regarding Jasper Mountain, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jasper Mountain, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-07.

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