COLUMBACARE SERVICES (NPI# 1508420076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508420076 |
| Entity Type | Organization |
| Organization Name | COLUMBACARE SERVICES |
| Practice Address |
29398 Recovery Way Junction City OR 97448-8442 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5418588170 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MICHAEL SEWITSKY (FINANCE DIRECTOR) |
| 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 |
| Other Name | Type Code |
|---|---|
| Mckenzie Outpatient | Doing Business As Name - Organization |
| 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 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1619582996 | Columbacare Services | Clinic/Center | 1057 Patterson St, Eugene, OR 97401-3315 | 2020-09-13 |
| 1346855624 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Ne Halsey St, Portland, OR 97230-6734 | 2020-09-13 |
| 1629603196 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-05 |
| 1942762547 | Columbacare Services | Psychiatric Residential Treatment Facility | 29398 Recovery Way Ste 3, Junction City, OR 97448-8442 | 2019-04-02 |
| 1902374531 | Columbacare Services | Clinic/Center | 3200 Juanipero Way, Medford, OR 97504 | 2018-11-13 |
| 1992223630 | Columbacare Services | Clinic/Center | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2017-09-01 |
| 1841718574 | Columbacare Services | Clinic/Center | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2017-09-01 |
| Street Address |
29398 RECOVERY WAY |
| City | JUNCTION CITY |
| State | OR |
| Zip Code | 97448-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094507 | Priscilla Stewart Park | Psychiatry & Neurology | 29398 Recovery Way, Junction City, OR 97448-8442 | 2007-02-27 |
| 1932735180 | Kelly Caldwell | Social Worker | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-03-19 |
| 1649803578 | Jeri Croucher | Dietitian, Registered | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-02-19 |
| 1245863661 | Amanda Silacci | Dietitian, Registered | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-02-13 |
| 1609398536 | Anh Vu Vuong | Pharmacist | 29398 Recovery Way, Junction City, OR 97448-8442 | 2017-07-12 |
| 1568901171 | Lynette Corie Smith | Psychologist | 29398 Recovery Way, Junction City, OR 97448-8442 | 2017-02-15 |
| 1700267002 | Julia Howe | Psychologist | 29398 Recovery Way, A1084 Cube 57, Junction City, OR 97448-8442 | 2015-06-11 |
| 1831583798 | Oregon Health Authority, Directors Office, Financial Services | Psychiatric Hospital | 29398 Recovery Way, Junction City, OR 97448-8442 | 2015-03-27 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1659608115 | Stacy Jean Nielsen | Social Worker | 29398 Recovery Way, Junction City, OR 97448-8447 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246466 | Haley Forte | Specialist/Technologist | 408 Walnut Street, Junction City, OR 97448 | 2020-02-04 |
| 1255841250 | Joann M Hatton | Counselor | 1041 Yew St, Junction City, OR 97448 | 2017-10-04 |
| 1437605482 | Terry Zachariah Hurst | Social Worker | 92695 Pebble Beach Lane, Junction City, OR 97448 | 2016-08-30 |
| 1568806206 | Devon Denny | Occupational Therapist | 503 S Birch St, Junction City, OR 97448 | 2013-04-24 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1033717624 | Therapy To Shine | Clinic/Center | 210 E 6th Ave, Junction City, OR 97448 | 2020-10-15 |
| 1497392591 | Jenny Mayer Chan | Pharmacist | 1755 Ivy St, Junction City, OR 97448 | 2019-12-08 |
| 1396142543 | Ruth Will | Physical Therapist | 680 Ivy St, Junction City, OR 97448 | 2014-12-02 |
| 1144399213 | Michael Howard Baum | Physical Therapist | 321 Holly Street, Junction City, OR 97448-0275 | 2006-11-06 |
| 1740840628 | Maria Guadalupe Iboa Montes | Technician | 1085 W 1st Ave Unit M, Junction City, OR 97448-1029 | 2019-06-13 |
| Find all providers in zip 97448 | ||||
| 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 |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
| City | JUNCTION CITY |
| Zip Code | 97448 |
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| 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.