COLUMBIACARE SERVICES INC


Address: 2016 Terrel Dr, Medford, OR 97501-8154
Phone: 5418588170

COLUMBIACARE SERVICES INC (NPI# 1861918278) 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) 1861918278
Entity Type Organization
Organization Name COLUMBIACARE SERVICES INC
Other Organization Name ORCHARD HOME
Practice Address 2016 Terrel Dr
Medford
OR 97501-8154
Mailing Address 3587 Heathrow Way
Medford
OR 97504-4004
Practice Telephone 5418588170
Mailing Telephone 5418588170
Mailing Fax Number 5418588167
Enumeration Date 2017-08-17
Last Update Date 2017-08-17
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/Organization Names

Other Name Type Code
Orchard Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124534185 Columbiacare Services Inc Clinic/Center 2345 Marion St, North Bend, OR 97459-2637 2017-12-28
1861942096 Columbiacare Services Inc Clinic/Center 201 W 6th St, Medford, OR 97501-2708 2016-10-12
1649466475 Columbiacare Services Inc Community Based Residential Treatment Facility, Mental Illness 3587 Heathrow Way, Medford, OR 97504 2007-09-14

Office Location

Street Address 2016 TERREL DR
City MEDFORD
State OR
Zip Code 97501-8154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053658781 Megan Marie Shallenberger Counselor 2016 Terrel Dr, Medford, OR 97501-8154 2013-01-15
1861006561 Robyn Lynn Ultsch Counselor 2016 Terrel Dr, Medford, OR 97501-8154 2020-09-01
1053956201 Hannah Jane Kimbel Counselor 2016 Terrel Dr, Medford, OR 97501-8154 2019-11-12
1346731882 Lourdes P Toves Counselor 2016 Terrel Dr, Medford, OR 97501-8154 2018-05-21
1134648371 Megan L Block Counselor 2016 Terrel Dr, Medford, OR 97501-8154 2017-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
Find all providers in zip 97501

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
1508218553 Columbiacare Serices Community Based Residential Treatment Facility, Mental Illness 1998 Sky Park Dr Ste 102, Medford, OR 97504-5395 2016-07-01
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
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

Search similar providers

City MEDFORD
Zip Code 97501

Improve Information

Please comment or provide details below to improve the information on COLUMBIACARE SERVICES INC.

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.

Trending Searches