| Sandy Behavioral Health Center | |
|
39740 Pleasant St Sandy OR 97055-6412 | |
| (503) 722-6937 | |
| (503) 722-6850 |
| Full Name | Sandy Behavioral Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 39740 Pleasant St, Sandy, Oregon |
| Authorized Official Name and Position | Sarah Jacobson (DIRECTOR - INTERIM) |
| Authorized Official Contact | 5032011890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Behavioral Health Center 2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Sandy Behavioral Health Center 39740 Pleasant St Sandy OR 97055-6412 Ph: (503) 722-6937 |
| NPI Number | 1841442001 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 9537065560 |
|---|---|
| Medicare Enrollment ID | O20040602000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841442001 | NPI | - | NPPES |
| 022710 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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