Columbiacare Services in Medford - Community Based Residential Treatment Facility, Mental Illness
Columbiacare Services - NPI 1043410962
Columbiacare Services is a Community Based Residential Treatment Facility, Mental Illness in Medford, Oregon. Columbiacare Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Columbiacare Services is 1043410962. The last update date is 2009-05-13.
Columbiacare Services's current location address is 3587 Heathrow Way, Medford, Oregon. You can contact this provider via phone number 5418588170 and fax number 5418588167. The mailing address for Columbiacare Services is 3587 Heathrow Way, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbiacare Services |
|---|---|
| Address | 3587 Heathrow Way, Medford, Oregon |
| Phone Number | 5418588170 |
| Fax Number | 5418588167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Beckett C Robert |
| Telephone Number | 5418588170 |
NPI Number Detail
| NPI Number | 1043410962 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2009-05-13 |
Provider Mailing Address Detail
| Address | 3587 Heathrow Way |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 97504 |
| Phone Number | 5418588170 |
| Fax Number | 5418588167 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 7863 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 517872 | OR | PROVIDER NUMBER SERVICE | |
| 274258 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Columbiacare Services by the Centers for Medicare & Medicaid Services?
The Columbiacare Services has been issued the NPI (National Provider Identifier) 1043410962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Columbiacare Services?
The Columbiacare Services is physically situated at 3587 Heathrow Way, in the city of Medford, state of OR, with the postal code 97504.
What is Columbiacare Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Columbiacare Services's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
When did the Columbiacare Services receive its 1043410962?
The Columbiacare Services was issued its 1043410962 on 2007-07-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Columbiacare Services most recently updated or revised?
The information pertaining to Columbiacare Services, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-13.