KLAMATH YOUTH REGIONAL TREATMENT CENTER – NPI #1578864641
Substance Abuse Rehabilitation Facility

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.

KLAMATH YOUTH REGIONAL TREATMENT CENTER is a substance abuse rehabilitation facility located in KLAMATH FALLS, OR. NPPES has assigned the NPI number 1578864641 to KLAMATH YOUTH REGIONAL TREATMENT CENTER on November 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KLAMATH YOUTH REGIONAL TREATMENT CENTER” is a dba name, the actual legal business name for this organization is KLAMATH TRIBAL HEALTH & FAMILY SERVICES. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KLAMATH YOUTH REGIONAL TREATMENT CENTER below.

NPI Profile for
KLAMATH TRIBAL HEALTH & FAMILY SERVICES

NPI Number
1578864641
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Doing Business As (dba): KLAMATH YOUTH REGIONAL TREATMENT CENTER
Primary location
121 IOWA ST.
KLAMATH FALLS, OR 97601
Phone: (541) 882-1487 Fax: (541) 882-1670
Mailing address
3949 SOUTH 6TH ST.
KLAMATH FALLS, OR 97603-4746
Phone: (541) 882-1487 Fax: (541) 882-1670
Organization Subpart
Yes - KLAMATH YOUTH REGIONAL TREATMENT CENTER is subpart of another organization.
Authorized Official
LEROY JACKSON
HEALTH GENERAL MANAGER
Phone: (541) 882-1487
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.