Healthcare Provider Details

I. General information

NPI: 1831231414
Provider Name (Legal Business Name): COUNTY OF HARNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N. FAIRVIEW
BURNS OR
97720
US

IV. Provider business mailing address

420 N. FAIRVIEW
BURNS OR
97720
US

V. Phone/Fax

Practice location:
  • Phone: 541-573-2271
  • Fax: 541-573-8388
Mailing address:
  • Phone: 541-573-2271
  • Fax: 541-573-8388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD171944
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberMD171944
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number080045993N1
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberMD171944
License Number StateOR
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number201707154NP-PP
License Number StateOR
# 7
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number080045993N1
License Number StateOR

VIII. Authorized Official

Name: WILLIAM J HART
Title or Position: COUNTY JUDGE
Credential:
Phone: 541-573-6356