OrganizationActive
Klamath Lake County Youth Ranch
NPI 1528499696 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bonanza, OR
Provider details
- NPI number
- 1528499696
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Thompson, Program Director(541) 545-6742
- License
- 0138 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5800 Happy Hollow Ln
Bonanza, OR 97623-7714
Phone: (541) 545-6742
Street-level locationGet directions
Mailing address
5800 Happy Hollow Ln
Bonanza, OR 97623-7714
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2013-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.