Providence Health & Services Oregon in Medford - Adolescent And Children Mental Health
Providence Health & Services Oregon - NPI 1568547503
Providence Health & Services Oregon is a Adolescent And Children Mental Health in Medford, Oregon. Providence Health & Services Oregon practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Providence Health & Services Oregon is 1568547503. The last update date is 2022-02-14.
Providence Health & Services Oregon's current location address is 965 Ellendale Dr, Medford, Oregon. You can contact this provider via phone number 5417326000 and fax number 5417326005. The mailing address for Providence Health & Services Oregon is 965 Ellendale Dr, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Oregon |
|---|---|
| Address | 965 Ellendale Dr, Medford, Oregon |
| Phone Number | 5417326000 |
| Fax Number | 5417326005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1568547503 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2022-02-14 |
Provider Mailing Address Detail
| Address | 965 Ellendale Dr |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975048215 |
| Phone Number | 5417326000 |
| Fax Number | 5417326005 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288515 | OR | -- | |
| CG6801 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Providence Health & Services Oregon?
The Providence Health & Services Oregon has been issued the NPI (National Provider Identifier) 1568547503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Providence Health & Services Oregon's facilities are geographically located?
The facilities of Providence Health & Services Oregon are physically situated at the following location: 965 Ellendale Dr, Medford, OR, 975048215.
What is the Providence Health & Services Oregon's area of specialization and corresponding taxonomy classification?
The Providence Health & Services Oregon's specialty field is Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568547503 to Providence Health & Services Oregon?
The Centers for Medicare & Medicaid Services originally issued the 1568547503 to Providence Health & Services Oregon on 2006-10-26.
As of what date were the details pertaining to Providence Health & Services Oregon last refreshed?
The information related to the Providence Health & Services Oregon, including its address, specialty, and other relevant details, was last updated on 2022-02-14.