RIMROCK TRAILS ADOLESCENT TREATMENT SERVICES (NPI# 1659698413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659698413 |
| Entity Type | Organization |
| Organization Name | RIMROCK TRAILS ADOLESCENT TREATMENT SERVICES |
| Practice Address |
1010 Nw 14th St Bend OR 97701-2190 |
| Mailing Address |
1333 Nw 9th St Prineville OR 97754-1482 |
| Practice Telephone | 5413888459 |
| Practice Fax Number | 5413888116 |
| Mailing Telephone | 5414472631 |
| Mailing Fax Number | 5414472616 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | MRS. BARBARA WARD DUDLEY (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Telephone | 5413888459 |
| Authorized Official Credential | CADC I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
3245S0500X | OR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811215478 | Rimrock Trails Adolescent Treatment Services | Substance Abuse Rehabilitation Facility | 16360 1st Street, La Pine, OR 97739-0305 | 2010-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RIMROCK TRAILS ADOLESCENT TREATMENT SERVICES | 1333 Nw 9th St, Prineville, OR 97754 |
| Street Address |
1010 NW 14TH ST |
| City | BEND |
| State | OR |
| Zip Code | 97701-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174781330 | David Guy Hakanson | Counselor | 1010 Nw 14th St, Bend, OR 97701-2190 | 2008-05-23 |
| 1811277841 | Courtney Lee | Counselor | 1010 Nw 14th St, Bend, OR 97701-2190 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023322690 | The Northstar Center | Substance Abuse Rehabilitation Facility | 1195 Nw Wall St, Bend, OR 97701-1965 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885145 | Klamath County Juvenile Department | Substance Abuse Rehabilitation Facility | 3331 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2013-08-16 |
| 1740543297 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 3529 Fisher Rd Ne, Salem, OR 97305 | 2012-06-20 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1578864641 | Klamath Tribal Health & Family Services | Substance Abuse Rehabilitation Facility | 121 Iowa St., Klamath Falls, OR 97601 | 2010-11-05 |
| 1811215478 | Rimrock Trails Adolescent Treatment Services | Substance Abuse Rehabilitation Facility | 16360 1st Street, La Pine, OR 97739-0305 | 2010-05-06 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1821205246 | Gail Renee Wilson | Substance Abuse Rehabilitation Facility | 2614 Se 115th Ave Apt 2, Portland, OR 97266-1176 | 2007-05-16 |
| 1851753123 | Dalana Sewell | Substance Abuse Rehabilitation Facility | 234 W 5th St, Medford, OR 97501-2611 | 2016-03-24 |
| 1225403744 | Looking Glass Community Services - Pathways Boys | Substance Abuse Rehabilitation Facility | 550 River Rd, Eugene, OR 97404-3212 | 2015-12-09 |
| 1265866305 | Hillcrest Youth Correctional Facility-oregon Youth Authority | Substance Abuse Rehabilitation Facility | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2013-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.