BOYS & GIRLS CLUB OF ALBANY (NPI# 1669757142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669757142 |
| Entity Type | Organization |
| Organization Name | BOYS & GIRLS CLUB OF ALBANY |
| Practice Address |
1215 Hill St Se Albany OR 97322-3238 |
| Practice Telephone | 5419266666 |
| Practice Fax Number | 5419260531 |
| Mailing Telephone | 5419266666 |
| Mailing Fax Number | 5419260531 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DANIELLE LYNN SMITH (HEALTH SERVICE COORDINATOR) |
| Authorized Official Telephone | 5419266666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BOYS & GIRLS CLUB OF ALBANY | 1215 Hill St Se, Albany, OR 97322 |
| System for Award Management (SAM) Entities | BOYS & GIRLS CLUB OF ALBANY INC | 527 W 3rd Ave, Albany, GA 31701-1917 |
| Street Address |
1215 HILL ST SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750841599 | Kimberly Lashaun Anthony | Community/Behavioral Health | 1517 Lily Pond Rd, Albany, GA 31701-7771 | 2019-03-20 |
| 1285101113 | Chasity S Wright | Community/Behavioral Health | 10151 N Reynard Rd, Albany, IN 47320-9107 | 2018-10-29 |
| 1356821375 | Behaviorway, Inc. | Community/Behavioral Health | 805 Kinkead Way Apt 101, Albany, CA 94706-2636 | 2018-08-20 |
| 1770012288 | Mental Health Association In New York State, Inc. | Community/Behavioral Health | 194 Washington Ave Ste 415, Albany, NY 12210-2314 | 2017-06-08 |
| 1225413610 | Mental Health Empowerment Project, Inc. | Community/Behavioral Health | 3 Atrium Dr Ste 205, Albany, NY 12205-1483 | 2015-07-27 |
| 1154700896 | Burroughs & Jones Counseling and Consulting, LLC | Community/Behavioral Health | 1216 Dawson Rd Ste 110, Burroughs & Jones Counseling and Consulting, LLC, Albany, GA 31707-3800 | 2015-05-27 |
| 1861899759 | Ivy Houses | Community/Behavioral Health | 627 W Highland Ave, Albany, GA 31701-2757 | 2014-11-21 |
| 1548670664 | Holistic Health Systems Inc | Community/Behavioral Health | 345 W Broad Ave Ste 105, Albany, GA 31701-2673 | 2014-04-28 |
| 1548682677 | Doing Good Again LLC | Community/Behavioral Health | 2423 W Alberson Dr, Albany, GA 31721-2025 | 2014-01-08 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on BOYS & GIRLS CLUB OF ALBANY.
| 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.