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KLAMATH YOUTH REGIONAL TREATMENT CENTER
NPI 1578864641
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Klamath Falls, OR

Active since November 05, 2010CLIA Certified · 2 labs
121 IOWA ST., KLAMATH FALLS, OR 97601(541) 882-1487(541) 882-1670 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Klamath Youth Regional Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLAMATH YOUTH REGIONAL TREATMENT CENTER (NPI 1578864641) is a healthcare organization registered as a substance abuse treatment, children in Klamath Falls, Oregon and active in the NPI registry since November 2010. The organization holds 2 active CLIA laboratory certificates and lists Leroy Jackson, Health General Manager, as its authorized official.

NPPES Registry Identity

NPI1578864641
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameKLAMATH TRIBAL HEALTH & FAMILY SERVICES
Location Address121 IOWA ST.Klamath Falls, OR 97601
Mailing Address3949 South 6th St.Klamath Falls, OR 97603-4746 · (541) 882-1487 · Fax (541) 882-1670
Phone(541) 882-1487
Fax(541) 882-1670
Organization SubpartYes
Authorized OfficialLeroy JacksonHealth General Manager · (541) 882-1487
Enumeration DateNovember 5, 2010
✔ NPI 1578864641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
121 IOWA ST., Klamath Falls, OR 97601
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Other Names 1

Doing Business AsKlamath Youth Regional Treatment Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0968045

Klamath Tribal Health & Family Services · Chiloquin, OR
Active · expires Nov 30, 2027
CLIA Number38D0968045
Laboratory TypeOther
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Benjamin R. Stuart
Laboratory Phone(541) 882-1487
Laboratory LocationKlamath Tribal Health & Family Services330 Chiloquin Blvd, Chiloquin, OR 97624
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2286315

Klamath Tribal Health & Family Services · Klamath Falls, OR
Active · expires Jul 25, 2027
CLIA Number38D2286315
Laboratory TypeFederal Tribal Clinic
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. Benjamin R. Stuart
Laboratory Phone(541) 882-1487
Laboratory LocationKlamath Tribal Health & Family Services6000 New Way, Klamath Falls, OR 97601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klamath Tribal Health & Family Services's NPI number?

The NPI number for Klamath Tribal Health & Family Services is 1578864641. It was assigned to this organization in the NPPES registry on November 5, 2010. The provider is doing business as Klamath Youth Regional Treatment Center.

Where is Klamath Tribal Health & Family Services located?

Klamath Tribal Health & Family Services is located at 121 Iowa St., Klamath Falls, OR 97601. The listed phone number is (541) 882-1487.

What is Klamath Tribal Health & Family Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Klamath Tribal Health & Family Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Klamath Tribal Health & Family Services was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.