Healthcare Provider Details

I. General information

NPI: 1720019441
Provider Name (Legal Business Name): MORROW COUNTY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 E. PIONEER DR.
HEPPNER OR
97836
US

IV. Provider business mailing address

PO BOX 9
HEPPNER OR
97836-0009
US

V. Phone/Fax

Practice location:
  • Phone: 541-676-2925
  • Fax: 541-676-2901
Mailing address:
  • Phone: 541-676-2925
  • Fax: 541-676-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number13141444
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier134705
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: MRS. NICOLE MAHONEY
Title or Position: CFO
Credential:
Phone: 541-676-2925