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Contact Information

COUNTY OF TILLAMOOK
34325 HIGHWAY 101 S
CLOVERDALE, OR97112-9400
 Phone: 503-842-3900
 Fax: 503-842-3903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for COUNTY OF TILLAMOOK

NPI # 1730341975
LBN Legal business name COUNTY OF TILLAMOOK
Authorized official MARLENE PUTMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2008
Last updated 07/30/2019 - About 7 years ago
Identifiers
OR Medicaid 128756
OR Other 116488 NORIDIAN
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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