JEFFERSON BEHAVIORAL HEALTH (NPI# 1750571345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750571345 |
| Entity Type | Organization |
| Organization Name | JEFFERSON BEHAVIORAL HEALTH |
| Practice Address |
550 Ne E St Grants Pass OR 97526-2326 |
| Practice Telephone | 5419559565 |
| Practice Fax Number | 5419558290 |
| Mailing Telephone | 5419559565 |
| Mailing Fax Number | 5419558290 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MR. BOB NIKKEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5419559565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 119488 | OR | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861575912 | Jefferson Behavioral Health | Exclusive Provider Organization | 223 Se M St, Hamilton House Annex, Grants Pass, OR 97526-3133 | 2006-10-23 |
| Street Address |
550 NE E ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115265 | Patricia Perez Martin | Health Educator | 550 Ne E St, Grants Pass, OR 97526-2326 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861575912 | Jefferson Behavioral Health | Exclusive Provider Organization | 223 Se M St, Hamilton House Annex, Grants Pass, OR 97526-3133 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178180 | Northwest Health Partners Network LLC | Exclusive Provider Organization | 3355 Riverbend Dr Ste 430, Springfield, OR 97477-8800 | 2019-01-23 |
| 1689053589 | Jenna Graven | Exclusive Provider Organization | 2246 Aloha Ave, Medford, OR 97504-6938 | 2015-05-25 |
| 1265570287 | Cascadia Behavioral Healthcare | Exclusive Provider Organization | 3324 Se Waverleigh Blvd, Portland, OR 97202-1973 | 2007-02-02 |
| 1346239670 | Interlink Health Services | Exclusive Provider Organization | 4660 Ne Belknap Ct, Suite 209, Hillsboro, OR 97124-6467 | 2005-10-19 |
| 1013385764 | Ocean Natural Health | Exclusive Provider Organization | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2015-09-11 |
| 1407254576 | Interlink Coe Networks and Programs | Exclusive Provider Organization | 4660 Ne Belknap Ct, Suite 209, Hillsboro, OR 97124-6467 | 2014-12-05 |
| 1578994851 | Eugene Foot and Ankle Center, LLC | Exclusive Provider Organization | 1680 Chambers St, Ste 201, Eugene, OR 97402-3655 | 2013-12-11 |
| 1386983443 | Faiz Healing Designs LLC | Exclusive Provider Organization | 38706 Pioneer Blvd, Sandy, OR 97055-8008 | 2013-02-10 |
| 1306014253 | Leslie O Franson | Exclusive Provider Organization | 1701 Ne 122nd Ave, Portland, OR 97230-1914 | 2008-02-13 |
| 1275721268 | Maple Ridge Assisted Living Community LLC | Exclusive Provider Organization | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.