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
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 1811078165
Provider Enumeration Date 2006-10-17
Last Updated Date 2009-05-13

Provider Mailing Address Detail

Address 3587 Heathrow Way
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
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

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FAQs about Columbiacare Services

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.

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