MT EMILY SAFE CENTER NPI 1467573485

NPI Information

NPI: 1467573485
Provider Name: MT EMILY SAFE CENTER
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 38D1085080

Address:
2107 3RD ST
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-0602
Get Directions

MT EMILY SAFE CENTER is a voluntary or charitable in La Grande, OR. MT EMILY SAFE CENTER NPI is 1467573485. The provider is registered as an organization entity type.

The provider's business location address is:

2107 3RD ST
LA GRANDE, OR
ZIP 97850-242
Phone: (541) 963-0602
Fax: (541) 962-0345

The provider's authorized official is Jamie Akers .
The authorized official title is Office Assistant and has the following contact phone number (541) 963-0602.

The CLIA number assigned to this NPI record is 38D1085080 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		67369182	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	57169744	OTHER	OREGON	BLUE CROSS BLUE SHIELD
2	287127	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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