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).
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 |
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 |
---|---|
Orchard Home | Doing Business As Name - Organization |
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 |
Street Address |
2016 TERREL DR |
City | MEDFORD |
State | OR |
Zip Code | 97501-8154 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.