Provider Demographics
NPI:1659694925
Name:GRANTS PASS MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:GRANTS PASS MANAGEMENT SERVICES, INC.
Other - Org Name:OREGON HEATLH MANAGEMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-471-2687
Mailing Address - Street 1:128 SW I ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2813
Mailing Address - Country:US
Mailing Address - Phone:541-471-4207
Mailing Address - Fax:541-471-4898
Practice Address - Street 1:128 SW I ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-2813
Practice Address - Country:US
Practice Address - Phone:541-471-4207
Practice Address - Fax:541-471-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management