COLUMBIACARE SERVICES INC (NPI# 1861942096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861942096 |
| Entity Type | Organization |
| Organization Name | COLUMBIACARE SERVICES INC |
| Practice Address |
201 W 6th St Medford OR 97501-2708 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412002900 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-07-16 |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Main St Ste C, Medford, OR 975016041 | 5418588170 | 5418588167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1861918278 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2016 Terrel Dr, Medford, OR 97501-8154 | 2017-08-17 |
| 1649466475 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504 | 2007-09-14 |
| Street Address |
201 W 6TH ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854557 | Jerardo Alejandro Sanchez Lua | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2019-10-29 |
| 1215401211 | Stephanie M Neilson | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2019-01-14 |
| 1134692353 | Stormy D Sain | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2019-01-10 |
| 1629541230 | Christian D Thompson | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2019-01-07 |
| 1275003972 | Kathleen B Oliver | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2018-11-26 |
| 1235610544 | Ashley Hilliker | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2018-08-24 |
| 1154835767 | Jordan Valentine | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2017-11-20 |
| 1962911628 | Tiffany E Hofeling | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2017-09-26 |
| 1730535915 | Marie Barlow | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2016-05-06 |
| 1801214333 | Katina Lines | Counselor | 201 W 6th St, Medford, OR 97501-2708 | 2014-04-02 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1255835104 | Columbiacare Services | Clinic/Center | 850 Swing Ln, Medford, OR 97501-1790 | 2018-03-23 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1407493513 | Peace In Mind Counseling | Clinic/Center | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2019-12-08 |
| 1649820762 | Allison Epstein, Ma, Lpc, LLC | Clinic/Center | 520 Stokes Rd Ste A10, Medford, NJ 08055-2904 | 2019-09-19 |
| 1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
| 1992248009 | Columbiacare Services | Clinic/Center | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2016-11-21 |
| 1376095836 | County of Jackson | Clinic/Center | 140 S Holly St, Medford, OR 97501-3113 | 2016-11-01 |
| 1760751622 | Twin Oaks Community Services, Inc | Clinic/Center | 85 Union St, Medford, NJ 08055-2432 | 2011-12-22 |
| 1245432509 | Community Works, Inc. | Clinic/Center | 201 W Main St, #3d, Medford, OR 97501-2744 | 2007-05-31 |
| 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.