ADAPT


Address: 671 Sw Main, Winston, OR 97496-0012
Phone: 5414924550

ADAPT (NPI# 1912061755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912061755
Entity Type Organization
Organization Name ADAPT
Other Organization Name SOUTHRIVER MEDICAL CLINIC AKA: SOUTHRIVER COMMUNITY HEALTH CENTER
Practice Address 671 Sw Main
Winston
OR 97496-0012
Mailing Address P.o Box 12
Winston
OR 97496-0012
Practice Telephone 5414924550
Practice Fax Number 5414924553
Mailing Telephone 5414924550
Mailing Fax Number 5414924553
Enumeration Date 2006-12-19
Last Update Date 2019-06-10
Authorized Official Name MS. MICHELLE M WATSON (MANAGER)
Authorized Official Telephone 5414924550
Is Organization Subpart Y
Parent Organization Name ADAPT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 261Q00000X Clinic/Center 276245 OR Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 007151 05

Other Provider/Organization Names

Other Name Type Code
SouthRiver Medical Clinic aka: SouthRiver Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508295668 Adapt Counselor 1215 Se Court Ave, Roseburg, OR 97470-4329 2013-11-08
1174952238 Adapt Counselor 550 Se Jackson St, Roseburg, OR 97470-4923 2013-11-08
1639508708 Adapt Counselor 1036 Se Douglas Ave, Roseburg, OR 97470-3301 2013-11-08
1235568155 Adapt Counselor 1950 Winchester Ave, Reedsport, OR 97467-1151 2013-11-01
1730362534 Adapt Substance Abuse Rehabilitation Facility 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2007-12-14
1649453440 Adapt Substance Abuse Rehabilitation Facility 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 2007-12-14
1144401043 Adapt Counselor 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 2007-11-19
1750373346 Adapt Counselor 548 Se Jackson St, Roseburg, OR 97470-4983 2005-08-18
1861967648 Adapt Clinic/Center 671 Sw Main St, Winston, OR 97496-6571 2018-10-09
1497248025 Adapt Counselor 400 Virginia Ave Ste 100, North Bend, OR 97459-3477 2018-06-08

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ADAPT 621 W Madrone St, Roseburg, OR 97470
System for Award Management (SAM) Entities ADAPT 621 W Madrone St, Roseburg, OR 97470-3090
Colorado Business Entities Adapt 14260 E 104th Ave, 4-301, Commerce City, CO 80022
Oregon Corporations, Companies and Business Names ADAPT & TRIUMPH 2757 Nw 7th St Ste A, Redmond, OR 97756
Virginia Business Entities AdaPt 2 HeaLing LLC 1806 Summit Ave Ste 300, Richmond, Virginia 23230-4339
System for Award Management (SAM) Entities ADAPT 2 IT, INC. 24100 El Toro Rd Ste E, Laguna Woods, CA 92637-3129
System for Award Management (SAM) Entities ADAPT A RAMP 170 Fuller Rd Unit 6, Ajax, ON L1S 7G8, CAN
New York State Corporations ADAPT ABILITY INC. 610 5th Ave., 1st Floor, Brooklyn, Ny 11215
New York State Corporations ADAPT ACCESSIBILITY LLC 2160 Penfield Road, Suite 11, Penfield, New York 14526
System for Award Management (SAM) Entities ADAPT AD SPECIALTY 13618 Lemay St, Van Nuys, CA 91401-1114

Office Location

Street Address 671 SW MAIN
City WINSTON
State OR
Zip Code 97496-0012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912160169 Kathryn Elizabeth Dailey Social Worker 671 Sw Main, Winston, OR 97496 2008-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679957708 Second Wind Mental Health Clinic Clinic/Center 11 Sw Brantley Drive, Winston, OR 97496 2015-07-18
1992951305 Ronald Forrest Tribble Dentist 90 Nw Glenhart, Winston, OR 97496 2008-08-18
1396923884 Karen S Triplett Nurse Practitioner 92 Nw Glenhart Ave, Winston, OR 97496 2008-02-06
1629168166 Adolescent Day Treatment Center Inc of Douglas County Clinic/Center 671 S.w. Main, Winston, OR 97496 2006-10-13
1184610123 Ronald F. Tribble, Dmd, PC Dentist 90 Nw Glenhart Ave, Winston, OR 97496 2005-09-26
1083016695 Cora G Hart Psychologist 671 Sw Main St, Winston, OR 97496 2014-09-25
1144426271 Rebecca Lin Duffy Nurse Practitioner 311 Sw Main, Winston, OR 97496-0771 2007-06-25
1861843310 Stacy J Nielsen, Lcsw, LLC Community/Behavioral Health 11 Sw Brantley Dr, Winston, OR 97496-4526 2016-06-27
1033462866 Kathryn Vara Registered Nurse 77 Sw Brantley Dr, Winston, OR 97496-4526 2012-10-17
1154944536 Functional Mental Health Nurse Practitioner 11 Sw Brantley Dr, Winston, OR 97496-4526 2020-05-20
Find all providers in zip 97496

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861967648 Adapt Clinic/Center 671 Sw Main St, Winston, OR 97496-6571 2018-10-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215540398 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 102 Christian Avenue, Talent, OR 97540 2020-08-28
1790398048 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 307 Wagner Creek Road, Talent, OR 97540 2020-08-26
1922656289 Clackamas County Clinic/Center 39831 Highway 26, Sandy, OR 97055-6558 2019-08-29
1063067312 Virginia Garcia Memorial Health Center Clinic/Center 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 2019-08-05
1417411505 Klamath Health Partnership, Inc Clinic/Center 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 2019-01-23
1679053946 Siskiyou Community Health Center Inc Clinic/Center 830 Ne 9th St, Grants Pass, OR 97526-1626 2018-08-16
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1598284242 Winding Waters Medical Clinic Clinic/Center 401b N Main St, Joseph, OR 97846-5030 2017-09-13
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1477005619 Outside In Clinic/Center 1226 Sw 12th Ave, Portland, OR 97205-2029 2016-11-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City WINSTON
Zip Code 97496

Improve Information

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Dataset Information

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.

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