Provider Demographics
NPI:1518267897
Name:OATS INC
Entity Type:Organization
Organization Name:OATS INC
Other - Org Name:OATS FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-670-3116
Mailing Address - Street 1:911 S HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:HEYBURN
Mailing Address - State:ID
Mailing Address - Zip Code:83336-5001
Mailing Address - Country:US
Mailing Address - Phone:208-679-2273
Mailing Address - Fax:208-679-3368
Practice Address - Street 1:911 S HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:HEYBURN
Practice Address - State:ID
Practice Address - Zip Code:83336-5001
Practice Address - Country:US
Practice Address - Phone:208-679-2273
Practice Address - Fax:208-679-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID17053195340039251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health