Columbiacare Services in Medford - Community Based Residential Treatment Facility, Mental Illness
Columbiacare Services - NPI 1811078165
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 1811078165. 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 |
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Address | 3587 Heathrow Way, Medford, Oregon |
Phone Number | 5418588170 |
Fax Number | 5418588167 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Beckett C Robert |
Telephone Number | 5418588170 |
NPI Number Detail
NPI Number | 1811078165 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2009-05-13 |
Provider Mailing Address Detail
Address | 3587 Heathrow Way |
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City | Medford |
State | Oregon (OR) |
Post Code | 975047499 |
Phone Number | 5418588170 |
Fax Number | 5418588167 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | 776 |
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 |
---|---|---|---|
276355 | OR | -- | |
515195 | OR | MC SERVICE PMT |
Post Comment/ Review Below
What is the Columbiacare Services's unique identification number?
The Columbiacare Services has been assigned the NPI (National Provider Identifier) Number 1811078165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Columbiacare Services's facilities are situated?
The facilities of Columbiacare Services are physically located at the following address: 3587 Heathrow Way, Medford, OR, 975047499.
What is Columbiacare Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Columbiacare Services's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811078165 to Columbiacare Services?
The Centers for Medicare & Medicaid Services originally issued the 1811078165 to Columbiacare Services on 2006-10-17.
As of what date were the details pertaining to Columbiacare Services last refreshed?
The information related to the Columbiacare Services, including its address, specialty, and other relevant details, was last updated on 2009-05-13.