| Rimrock Trails Ats | |
|
1333 Nw 9th St Prineville OR 97754-1482 | |
| (541) 447-2631 | |
| (541) 447-2616 |
| Full Name | Rimrock Trails Ats |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1333 Nw 9th St, Prineville, Oregon |
| Authorized Official Name and Position | Erica Fuller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5414472631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rimrock Trails Ats 1333 Nw 9th St Prineville OR 97754-1482 Ph: (541) 447-2631 | Rimrock Trails Ats 1333 Nw 9th St Prineville OR 97754-1482 Ph: (541) 447-2631 |
| NPI Number | 1194873406 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 5799107629 |
|---|---|
| Medicare Enrollment ID | O20200623002699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194873406 | NPI | - | NPPES |
| Provider Name | Jacqueline Michele Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356751283 PECOS PAC ID: 4880014836 Enrollment ID: I20201014000001 |
| Provider Name | Liana Whiteley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083915490 PECOS PAC ID: 2062824436 Enrollment ID: I20201209002544 |
| Provider Name | Katherine London |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548681224 PECOS PAC ID: 3779995345 Enrollment ID: I20201224000230 |
| Provider Name | Kiley Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007843 PECOS PAC ID: 8022394675 Enrollment ID: I20210923001962 |
| Provider Name | Hannah Mae Kappus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093325110 PECOS PAC ID: 0749630721 Enrollment ID: I20240103002733 |
| Provider Name | Peter Buhmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811309776 PECOS PAC ID: 2961855127 Enrollment ID: I20240124003060 |
Apis Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Ne 4th St Ste 5, Prineville, OR 97754 Phone: 971-312-2091 Fax: 971-256-8853 | |
G.f. Enterprises Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Nw Beaver St, Prineville, OR 97754 Phone: 541-447-5521 Fax: 541-447-5521 | |
Best Care Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Ne Elm St, Prineville, OR 97754 Phone: 541-516-4087 Fax: 541-504-1195 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-6254 | |
Robyn Loxley Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Nw 4th St, Prineville, OR 97754 Phone: 541-416-3697 Fax: 541-416-3707 | |
Anchored Grace Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Nw Ewen St, Prineville, OR 97754 Phone: 541-539-0888 |