COLUMBIACARE SERVICES (NPI# 1487040424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487040424 |
| Entity Type | Organization |
| Organization Name | COLUMBIACARE SERVICES |
| Practice Address |
2211 Clear Vue Ln Springfield OR 97477-1373 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504 |
| Practice Telephone | 5036545678 |
| Practice Fax Number | 5036541236 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | MIKE DAVID SEWITSKY (FINANCE MANAGER) |
| Authorized Official Telephone | 5418588170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427553692 | Columbiacare Services | Clinic/Center | 29415 Russell St, Gold Beach, OR 97444 | 2018-03-28 |
| 1255835104 | Columbiacare Services | Clinic/Center | 850 Swing Ln, Medford, OR 97501-1790 | 2018-03-23 |
| 1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| 1871946640 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 29841 Hillcrest St, Gold Beach, OR 97444-8714 | 2016-07-18 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1679941785 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 130 Se 119th Ave, Portland, OR 97216-3704 | 2015-09-04 |
| 1346637816 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Halsey Crc, Portland, OR 97230 | 2015-04-22 |
| 1700273638 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17700 Ne Halsey St, Portland, OR 97230-6734 | 2015-04-17 |
| 1740679182 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 11380 Se Greenburg Rd #9, Tigard, OR 97223 | 2015-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COLUMBIACARE SERVICES, INC | 3587 Heathrow Way, Medford, OR 97504 |
| Oregon Corporations, Companies and Business Names | COLUMBIACARE SERVICES, INC. | 3587 Heathrow Way, Medford, OR 97504 |
| Street Address |
2211 CLEAR VUE LN |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437292091 | Darci Loreen Stephenson | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2007-02-14 |
| 1588261242 | Samantha Renee Shook | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2020-10-06 |
| 1306443049 | Alexandra Kristen Myers | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2020-10-06 |
| 1851920102 | Lorraine Mary Mendez | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2020-04-07 |
| 1043842776 | Christina Sue Flint | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2020-02-11 |
| 1760027916 | Jage Joy Bechtle | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2019-11-12 |
| 1649811951 | Christine Grace Lockhart | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2019-10-08 |
| 1831744978 | Tejinder P Bhullar | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2019-08-06 |
| 1407330103 | Emily Anne Burns | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2018-09-18 |
| 1336622018 | Okechukwu I Ndukuba | Counselor | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1912258443 | Elderhealth & Living | Community Based Residential Treatment Facility, Mental Illness | 382 S 58th St, Springfield, OR 97478-7623 | 2012-09-24 |
| 1457594731 | Gateway Assisted Living, Inc. | Community Based Residential Treatment Facility, Mental Illness | 620 N Cloverleaf Loop, Springfield, OR 97477-1167 | 2009-04-15 |
| 1225155898 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Three Rivers Irtp, 26 Ridgewood Ter, Springfield, MA 01105-1315 | 2007-03-26 |
| 1255455374 | Volunteers of America of Georgia | Community Based Residential Treatment Facility, Mental Illness | 102 Deer Rd, Springfield, GA 31329-9201 | 2007-03-16 |
| 1629119086 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 41496 Mckenzie Hwy, Springfield, OR 97478-8688 | 2007-02-09 |
| 1619066313 | Project Woman | Community Based Residential Treatment Facility, Mental Illness | 1316 E High St, Springfield, OH 45505-1195 | 2006-10-12 |
| 1225441256 | South Bay Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 140 High St, Springfield, MA 01199-1006 | 2014-06-06 |
| 1619308822 | Great Circle | Community Based Residential Treatment Facility, Mental Illness | 1212 W Lombard St, Springfield, MO 65806-2720 | 2013-12-13 |
| 1023263043 | Mental Health Centers of Central Illinois | Community Based Residential Treatment Facility, Mental Illness | 200 W Lake Dr, Building C, Springfield, IL 62703-4956 | 2008-11-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on COLUMBIACARE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.