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NPI Code Detail

MEDICARE: COUNTY OF LINN

MEDICARE: COUNTY OF LINN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760575781
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF LINN
Provider Business Mailing Address
First Line : PO BOX 100
Second Line :
City : ALBANY
State : OR
Zip : 97321-0031
Country : US
Telephone Number : 541-967-3866
Fax Number : 541-928-3020
Provider Business Practice Location Address
First Line : 445 3RD AVE SW
Second Line :
City : ALBANY
State : OR
Zip : 97321-2272
Country : US
Telephone Number : 541-967-3866
Fax Number : 541-928-3020
Authorized Official
Title or Position : HEALTH ADMINISTRATOR
Name : TODD NOBLE
Credential : LPC
Telephone Number : 541-924-6916
Provider Enumeration Date : 10/02/2006
Last Update Date : 05/04/2020

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Directions to “COUNTY OF LINN ” Practice Location

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