Provider Demographics
NPI:1538846696
Name:OREGON COUNTY SHELTERED WORKSHOP
Entity type:Organization
Organization Name:OREGON COUNTY SHELTERED WORKSHOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:COLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-778-6332
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:MO
Mailing Address - Zip Code:65606-0459
Mailing Address - Country:US
Mailing Address - Phone:417-778-6332
Mailing Address - Fax:417-778-6332
Practice Address - Street 1:20674 US HWY 160
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:MO
Practice Address - Zip Code:65606
Practice Address - Country:US
Practice Address - Phone:417-778-6332
Practice Address - Fax:417-778-6332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)