Provider Demographics
NPI:1003939885
Name:CASCADE HEALTHCARE COMMUNITY
Entity type:Organization
Organization Name:CASCADE HEALTHCARE COMMUNITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP-CFO FINANCIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-322-0124
Mailing Address - Street 1:PO BOX 5789
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-5789
Mailing Address - Country:US
Mailing Address - Phone:541-322-0124
Mailing Address - Fax:
Practice Address - Street 1:1885 NE PURCELL BLVD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6022
Practice Address - Country:US
Practice Address - Phone:541-322-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR757323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility