Columbiacare Services in Medford - Community Based Residential Treatment Facility, Mental Illness

Columbiacare Services - NPI 1386720142

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 1386720142. 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 1386720142
Provider Enumeration Date 2006-10-27
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 801
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
516052 OR W ROSE SERVICE PMT
241906 OR --

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FAQs about Columbiacare Services

What is the unique 10-digit identifier code issued to Columbiacare Services by the Centers for Medicare & Medicaid Services?

The Columbiacare Services has been assigned the NPI (National Provider Identifier) 1386720142 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Columbiacare Services is geographically located?

The Columbiacare Services is physically situated at the following location: 3587 Heathrow Way, Medford, OR, 97504.

What is Columbiacare Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Columbiacare Services is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.

On what date was the 1386720142 assigned to Columbiacare Services?

The Columbiacare Services was issued its 1386720142 on 2006-10-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Columbiacare Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Columbiacare Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-13.

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