COLUMBIACARE SERICES


Address: 1998 Sky Park Dr Ste 102, Medford, OR 97504-5395
Phone: 5418588170

COLUMBIACARE SERICES (NPI# 1508218553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508218553
Entity Type Organization
Organization Name COLUMBIACARE SERICES
Practice Address 1998 Sky Park Dr Ste 102
Medford
OR 97504-5395
Mailing Address 3587 Heathrow Way
Medford
OR 97504-4004
Practice Telephone 5418588170
Practice Fax Number 5418588167
Mailing Telephone 5418588170
Mailing Fax Number 5418588167
Enumeration Date 2016-07-01
Last Update Date 2016-07-01
Authorized Official Name MIKE DAVID SEWITSKY (FINANCE MANAGER)
Authorized Official Telephone 5418588170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336512326 Columbiacare Serices Community Based Residential Treatment Facility, Mental Illness 14626 Se Powell Blvd, Portland, OR 97236-2572 2015-11-12

Office Location

Street Address 1998 SKY PARK DR STE 102
City MEDFORD
State OR
Zip Code 97504-5395

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003262106 Catholic Charities Diocese of Trenton Community Based Residential Treatment Facility, Mental Illness 417 Tabernacle Rd, Medford, NJ 08055-2019 2016-05-06
1750780227 Westbridge Inc Community Based Residential Treatment Facility, Mental Illness 275 Mystic Ave, Ste C, Medford, MA 02155-6301 2014-08-20
1780966606 Walgreens Community Based Residential Treatment Facility, Mental Illness 113 Monument St, Medford, MA 02155-3538 2011-09-16
1134270341 Laurel Hill Inn, Ltd Community Based Residential Treatment Facility, Mental Illness 121 Mystic St, Medford, MA 02155-3463 2007-01-15
1861918278 Columbiacare Services Inc Community Based Residential Treatment Facility, Mental Illness 2016 Terrel Dr, Medford, OR 97501-8154 2017-08-17
1548511694 Options for Southern Oregon Community Based Residential Treatment Facility, Mental Illness 1911 Hazel Ave, Medford, OR 97501-1630 2012-09-28
1508126368 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 3587 Heathrow Way, Medford, OR 97504-4004 2012-05-25
1104186014 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 3587 Heathrow Way, Medford, OR 97504-4004 2012-05-24
1780988253 Jackson County Mental Health Community Based Residential Treatment Facility, Mental Illness 1911 Hazel Ave, Medford, OR 97501-1630 2010-12-27
1649466475 Columbiacare Services Inc Community Based Residential Treatment Facility, Mental Illness 3587 Heathrow Way, Medford, OR 97504 2007-09-14
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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