ADAPT (NPI# 1750373346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750373346 |
Entity Type | Organization |
Organization Name | ADAPT |
Practice Address |
548 Se Jackson St Roseburg OR 97470-4983 |
Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
Practice Telephone | 5416722691 |
Practice Fax Number | 5416735642 |
Mailing Telephone | 5416722691 |
Mailing Fax Number | 5416735642 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2019-05-08 |
Authorized Official Name | BRUCE PIPER (CEO) |
Authorized Official Telephone | 5416722691 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers | |
N | 324500000X | Substance Abuse Rehabilitation Facility | OR | Residential Treatment Facilities | |
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
OR | Residential Treatment Facilities | |
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | REGENCE - RESIDENTIAL | 100394400 | 01 |
OR | 218156 | 05 | |
OR | REGENCE - OUTPATIENT | 024030000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508295668 | Adapt | Counselor | 1215 Se Court Ave, Roseburg, OR 97470-4329 | 2013-11-08 |
1174952238 | Adapt | Counselor | 550 Se Jackson St, Roseburg, OR 97470-4923 | 2013-11-08 |
1639508708 | Adapt | Counselor | 1036 Se Douglas Ave, Roseburg, OR 97470-3301 | 2013-11-08 |
1235568155 | Adapt | Counselor | 1950 Winchester Ave, Reedsport, OR 97467-1151 | 2013-11-01 |
1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
1649453440 | Adapt | Substance Abuse Rehabilitation Facility | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2007-12-14 |
1144401043 | Adapt | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2007-11-19 |
1912061755 | Adapt | Family Medicine | 671 Sw Main, Winston, OR 97496-0012 | 2006-12-19 |
1861967648 | Adapt | Clinic/Center | 671 Sw Main St, Winston, OR 97496-6571 | 2018-10-09 |
1497248025 | Adapt | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459-3477 | 2018-06-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | ADAPT | 621 W Madrone St, Roseburg, OR 97470 |
System for Award Management (SAM) Entities | ADAPT | 621 W Madrone St, Roseburg, OR 97470-3090 |
Colorado Business Entities | Adapt | 14260 E 104th Ave, 4-301, Commerce City, CO 80022 |
Oregon Corporations, Companies and Business Names | ADAPT & TRIUMPH | 2757 Nw 7th St Ste A, Redmond, OR 97756 |
Virginia Business Entities | AdaPt 2 HeaLing LLC | 1806 Summit Ave Ste 300, Richmond, Virginia 23230-4339 |
System for Award Management (SAM) Entities | ADAPT 2 IT, INC. | 24100 El Toro Rd Ste E, Laguna Woods, CA 92637-3129 |
System for Award Management (SAM) Entities | ADAPT A RAMP | 170 Fuller Rd Unit 6, Ajax, ON L1S 7G8, CAN |
New York State Corporations | ADAPT ABILITY INC. | 610 5th Ave., 1st Floor, Brooklyn, Ny 11215 |
New York State Corporations | ADAPT ACCESSIBILITY LLC | 2160 Penfield Road, Suite 11, Penfield, New York 14526 |
System for Award Management (SAM) Entities | ADAPT AD SPECIALTY | 13618 Lemay St, Van Nuys, CA 91401-1114 |
Street Address |
548 SE JACKSON ST |
City | ROSEBURG |
State | OR |
Zip Code | 97470-4983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194322396 | Christopher Hudgeon | Case Manager/Care Coordinator | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-10-01 |
1245858232 | Melissa Burdett | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-07-07 |
1649897281 | Kimberly Brent | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-06-30 |
1720602626 | Laura Pulley | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-06-05 |
1871116756 | Abigail M Levere | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-05-26 |
1861011629 | Megan Bradlee Pinnell | Social Worker | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-04-13 |
1942858204 | Deborah Caskey | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-08-29 |
1841842853 | Michael Sidrian | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-07-10 |
1225697295 | Rachel Cress | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-06-12 |
1073081055 | Nicholas Givens | Case Manager/Care Coordinator | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2018-11-07 |
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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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205166691 | Monarch Medical Group LLC | Clinic/Center | 780 Nw Garden Valley Blvd Ste 46b, Roseburg, OR 97471-6528 | 2010-01-06 |
1982835880 | Sustainable Enterprises Inc | Clinic/Center | 725 Se Main St Ste A, Roseburg, OR 97470-3938 | 2009-07-27 |
1750402913 | Douglas County Childrens Center, Inc | Clinic/Center | 545 W Umpqua St Ste 1, Roseburg, OR 97471-2979 | 2007-04-03 |
1063502714 | Cow Creek Band of Umpqua Tribe of Indians | Clinic/Center | 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | 2006-10-13 |
1457351991 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2005-07-27 |
1972013332 | Umpqua Health Transitional Care, LLC | Clinic/Center | 2801 Nw Mercy Dr Ste 330, Roseburg, OR 97471-2348 | 2017-10-11 |
1760810527 | Pacific Healthcare Services, P.C. | Clinic/Center | 340 Nw Medical Loop, Roseburg, OR 97471-1645 | 2013-10-14 |
1225352032 | Arlan G. Zastrow, Md, LLC | Clinic/Center | 320 Nw Medical Loop, Roseburg, OR 97471-1645 | 2010-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
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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.