BENNY WHITE (NPI# 1477001873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477001873 |
| Entity Type | Individual |
| Full Name | BENNY WHITE |
| Practice Address |
702 Sunset Dr Ontario OR 97914-3121 |
| Practice Telephone | 5418899167 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
702 SUNSET DR |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821056391 | Judith Poirot | Social Worker | 702 Sunset Dr, Ontario, OR 97914-3121 | 2006-05-03 |
| 1235740994 | Kristie Marlene Lyman | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-08-14 |
| 1083225411 | Hannah Layne Radford | Social Worker | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-08-10 |
| 1902424724 | Nathan Douglas Barraza | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-07-08 |
| 1225656036 | Denys Roy Fuhrmann | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-07-08 |
| 1750907689 | Tamara Kay Ashley | Case Manager/Care Coordinator | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-06-16 |
| 1104440023 | Leah Dredge | Social Worker | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-06-05 |
| 1659994176 | Samuel Galan | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-05-19 |
| 1548882434 | James E Burmeister | Case Manager/Care Coordinator | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-05-13 |
| 1619509247 | Betty Raynor | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129282 | Clare Matrix | Substance Abuse Rehabilitation Facility | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2014-02-07 |
| 1285079350 | G&c Swan Inc | Substance Abuse Rehabilitation Facility | 1354 Carlos Pl, Ontario, CA 91764-2310 | 2013-05-02 |
| 1477782431 | Unio Recovery Center | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2009-07-10 |
| 1588193262 | Jovanna Vargas | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-06-07 |
| 1538696752 | Wanpen Strength | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-05-18 |
| 1891243663 | Tyler Woods | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-21 |
| 1639627409 | Olivia Rodriguez | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-21 |
| 1891243754 | Dixie Woods | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-20 |
| 1336697309 | Gart Hardin | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-19 |
| 1174071153 | David Jacobus | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-19 |
| Find all providers in ONTARIO | ||||
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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.