FAMILY DEVELOPMENT CENTER (NPI# 1700258639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700258639 |
| Entity Type | Organization |
| Organization Name | FAMILY DEVELOPMENT CENTER |
| Practice Address |
300 Jerrys Dr Roseburg OR 97470-1132 |
| Practice Telephone | 5416734354 |
| Practice Fax Number | 5412290623 |
| Mailing Telephone | 5416734354 |
| Mailing Fax Number | 5412290623 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | MRS. CHARLENE STUTES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5416734354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346354875 | Family Development Center | Psychologist | 8817 Redwood Rd Ste A, West Jordan, UT 84088-9266 | 2006-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FAMILY DEVELOPMENT CENTER OF VIRGINIA INC. | P O Box 1012, Warsaw, Virginia 22572 |
| Oregon Corporations, Companies and Business Names | FAMILY DEVELOPMENT CENTER/DOUGLAS COUNTY RELIEF NURSERY | 300 Jerry's Dr, Roseburg, OR 97470 |
| Street Address |
300 JERRYS DR |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447623376 | Amber Barrows | Social Worker | 300 Jerrys Dr, Roseburg, OR 97470-1132 | 2015-10-30 |
| 1558878769 | Robert Cory Miller | Counselor | 300 Jerrys Dr, Roseburg, OR 97470-1132 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891169959 | United Community Action Network | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2015-11-30 |
| 1093189151 | United Community Action Network | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2015-11-30 |
| 1275907339 | United Community Action Network | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2015-11-30 |
| 1023166048 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-08 |
| 1396892717 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-05 |
| 1770630386 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711890 | Diabetes Community Care Team | Public Health or Welfare | 207 E 5th Ave Ste 223, Eugene, OR 97401-2762 | 2017-10-18 |
| 1215398268 | Global Interpreters Usa | Public Health or Welfare | 2720 Summer St Se, Salem, OR 97302-3140 | 2016-03-17 |
| 1710344643 | Carole Casler | Public Health or Welfare | 70 Sw Century Dr Ste 100-184, Bend, OR 97702-3557 | 2016-01-22 |
| 1093101081 | Lucas Weiss | Public Health or Welfare | 260 E 15th Ave Ste F, Eugene, OR 97401-4177 | 2015-04-07 |
| 1194122721 | Community Chest Inc. | Public Health or Welfare | 1628 Ne Buffalo St, Portland, OR 97211-4718 | 2014-11-25 |
| 1598184087 | Cherocreek Nation | Public Health or Welfare | 831 Talent Ave, Talent, OR 97540-9613 | 2014-04-11 |
| 1144668583 | Odyssey Science Innovations | Public Health or Welfare | 7471 Sw Saint John Pl, Portland, OR 97223-4503 | 2013-06-07 |
| 1821356536 | Clackamas Service Center | Public Health or Welfare | 8800 Se 80th Ave, Portland, OR 97206-9270 | 2012-05-01 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1851698476 | Columbia Gorge Children's Advocacy Center | Public Health or Welfare | 1340 Wasco St, Hood River, OR 97031-1148 | 2011-02-16 |
| 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.