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Contact Information

KLAMATH YOUTH DEVELOPMENT CENTER
2210 N ELDORADO AVE
KLAMATH FALLS, OR97601
 Phone: 541-883-1030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for KLAMATH YOUTH DEVELOPMENT CENTER

NPI # 1578991709
LBN Legal business name KLAMATH YOUTH DEVELOPMENT CENTER
Authorized official ASHLEY WALDRON - (TREATMENT SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2013
Last updated 10/25/2013 - About 13 years ago
Identifiers
OR Medicaid 223354
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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