Provider Demographics
NPI:1558492009
Name:YAMHILL COUNTY HHS PUBLIC HEALTH-MCH
Entity type:Organization
Organization Name:YAMHILL COUNTY HHS PUBLIC HEALTH-MCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANFRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-434-7525
Mailing Address - Street 1:310 NE KIRBY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4301
Mailing Address - Country:US
Mailing Address - Phone:503-434-7525
Mailing Address - Fax:503-472-9731
Practice Address - Street 1:310 NE KIRBY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4301
Practice Address - Country:US
Practice Address - Phone:503-434-7525
Practice Address - Fax:503-472-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR043062Medicaid