COUNTY OF TILLAMOOK (NPI# 1730341975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730341975 |
| Entity Type | Organization |
| Organization Name | COUNTY OF TILLAMOOK |
| Other Organization Name | TILLAMOOK COUNTY HEALTH DEPARTMENT - CLOVERDALE CLINIC |
| Practice Address |
34325 Highway 101 S Cloverdale OR 97112-9400 |
| Mailing Address |
Po Box 489 Tillamook OR 97141-0489 |
| Practice Telephone | 5038423900 |
| Practice Fax Number | 5038423903 |
| Mailing Telephone | 5038423900 |
| Mailing Fax Number | 5038423903 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MS. MARLENE L PUTMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5038423900 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 128756 | 05 | |
| OR | NORIDIAN | 116488 | 01 |
| Other Name | Type Code |
|---|---|
| TILLAMOOK COUNTY HEALTH DEPARTMENT | Doing Business As Name - Organization |
| Tillamook County Health Department - Cloverdale Clinic | Doing Business As Name - Organization |
| Tillamook County Health Department - Mobile Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
| 1891173407 | County of Tillamook | Clinic/Center | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-05-14 |
| 1184887523 | County of Tillamook | Clinic/Center | 276 South Hwy 101, Rockawaybeach, OR 97136 | 2008-07-07 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1417568668 | County of Tillamook | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-08-12 |
| 1528151362 | County of Tillamook | Case Management | 801 Pacific Ave, Tillamook, OR 97141-3926 | 2006-10-02 |
| Street Address |
34325 HIGHWAY 101 S |
| City | CLOVERDALE |
| State | OR |
| Zip Code | 97112-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346676 | Hometown Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 34385 South Highway 101, Cloverdale, OR 97112 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637006 | Maria Dilley | Speech-Language Pathologist | 133 Champlain Ave, Cloverdale, CA 95425-3208 | 2020-04-10 |
| 1992353148 | Beverly D. Westenberg | Technician | 20 King Ridge Hts., Cloverdale, CA 95425 | 2019-08-30 |
| 1669038048 | Jessica Pipitone | Behavior Technician | 209 Vista View Dr, Cloverdale, CA 95425-3420 | 2019-05-12 |
| 1730693920 | Crystal Gail Bard | Behavior Technician | 65 Tinkerview Drive, Cloverdale, VA 24077 | 2017-11-27 |
| 1508394263 | Grace In-home Care | In Home Supportive Care | 125 Caldwell St, Cloverdale, CA 95425-3913 | 2017-05-25 |
| 1043768807 | Sacred Space Healing & Retreat Center International, Inc. | Substance Abuse Rehabilitation Facility | 627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425 | 2016-09-21 |
| 1417331505 | Catherine C Chu | Acupuncturist | 132 N Cloverdale Blvd, Cloverdale, CA 95425-3352 | 2015-07-17 |
| 1689052052 | Amanda Farrar | Social Worker | 129 N Cloverdale Blvd Ste 7, Cloverdale, CA 95425-3384 | 2015-05-18 |
| 1801273131 | Cynthia Gorton | Marriage & Family Therapist | 129 N Cloverdale Blvd Ste 10, Cloverdale, CA 95425-3384 | 2015-05-06 |
| 1558759993 | Stephanie Coble | Specialist/Technologist | 22324 Road H22, Cloverdale, OH 45827-9998 | 2015-01-08 |
| Find all providers in CLOVERDALE | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063875128 | Alexander Valley Healthcare | Clinic/Center | 6 Tarman Dr, Cloverdale, CA 95425-3932 | 2016-04-05 |
| 1033534466 | Coppertower Family Medical Center | Clinic/Center | 6 Tarman Dr, Cloverdale, CA 95425-3932 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CLOVERDALE |
| Zip Code | 97112 |
Please comment or provide details below to improve the information on COUNTY OF TILLAMOOK.
| 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.