COLUMBIACARE SERVICES (NPI# 1750826616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750826616 |
| Entity Type | Organization |
| Organization Name | COLUMBIACARE SERVICES |
| Practice Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5418914836 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | BOB BECKETT (CEO) |
| Authorized Official Telephone | 5418588170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| 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 |
3587 HEATHROW WAY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104962471 | Gaelen Laurel Thurow | Counselor | 3587 Heathrow Way, Medford, OR 97504-4004 | 2007-01-30 |
| 1841837796 | Anastasia Olga Zukowski | Counselor | 3587 Heathrow Way, Medford, OR 97504-4004 | 2019-12-10 |
| 1497227995 | Gary J Mcconahay | Counselor | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-12-20 |
| 1689144750 | Kirby Douglas Rider | Case Management | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-11-30 |
| 1174002091 | Tiffany A Weldon | Registered Nurse | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-08-10 |
| 1265965354 | Joseph Chick | Counselor | 3587 Heathrow Way, Medford, OR 97504-4004 | 2017-04-06 |
| 1992245625 | Columbiacare Services | Clinic/Center | 3587 Heathrow Way, Suite #1, Medford, OR 97504-4004 | 2017-02-28 |
| 1972047660 | Zola Hulet | Case Manager/Care Coordinator | 3587 Heathrow Way, Medford, OR 97504-4004 | 2016-12-14 |
| 1710421540 | Stephanie Lynn Lane | Case Manager/Care Coordinator | 3587 Heathrow Way, Medford, OR 97504-4004 | 2016-12-13 |
| 1164964029 | Cynthia Martinez | Counselor | 3587 Heathrow Way, Medford, OR 97504-4004 | 2016-11-09 |
| Find all providers in the same location | ||||
| 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 Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091569 | Redemption Ridge | Case Management | 503 Airport Rd Ste 103, Medford, OR 97504-4159 | 2016-05-18 |
| 1871801316 | Professional Home Nursing Services | Case Management | 42 Wareham Street, Medford, MA 02155-6222 | 2010-09-17 |
| 1821312141 | Carrie Bisignani | Case Management | 178 Country Rd, Medford, NY 11763-1636 | 2010-03-15 |
| 1306081542 | Jackson County Oregon | Case Management | 609 W 10th St, Medford, OR 97501-3106 | 2008-12-02 |
| 1689286585 | Ny Speaks | Case Management | 46 Syracuse Ave, Medford, NY 11763-3621 | 2020-08-20 |
| 1346883188 | Maslow Project | Case Management | 500 Monroe St, Medford, OR 97501 | 2019-10-24 |
| 1689144750 | Kirby Douglas Rider | Case Management | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-11-30 |
| 1043751597 | Options for Southern Oregon | Case Management | 3501 Excel Dr, Ste 225, Medford, OR 97504-8067 | 2017-03-16 |
| 1467700070 | The Counseling Center for Child Development Inc | Case Management | 10 Cabot Rd, 101, Medford, MA 02155-5177 | 2012-08-29 |
| 1144596115 | Jcmh - Hazel Center | Case Management | 1911 Hazel Ave, Medford, OR 97501-1630 | 2012-03-23 |
| Find all providers in MEDFORD | ||||
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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.