Columbiacare Services Inc in Medford - Community Based Residential Treatment Facility, Mental Illness
Columbiacare Services Inc - NPI 1649466475
Columbiacare Services Inc is a Community Based Residential Treatment Facility, Mental Illness in Medford, Oregon. Columbiacare Services Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Columbiacare Services Inc is 1649466475. The last update date is 2017-05-25.
Columbiacare Services Inc'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 Inc is 3587 Heathrow Way, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbiacare Services Inc |
|---|---|
| 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 | 1649466475 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2017-05-25 |
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 |
|
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 |
|---|---|---|---|
| 500604542 | OR | REFERRING PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Columbiacare Services Inc by the Centers for Medicare & Medicaid Services?
The Columbiacare Services Inc has been assigned the NPI (National Provider Identifier) 1649466475 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Columbiacare Services Inc is physically located?
The Columbiacare Services Inc is physically situated at the following address: 3587 Heathrow Way, Medford, OR, 97504.
What is Columbiacare Services Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Columbiacare Services Inc'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 assign the 1649466475 to Columbiacare Services Inc?
The Centers for Medicare & Medicaid Services assigned the 1649466475 to Columbiacare Services Inc on 2007-09-14.
As of what date was the information pertaining to Columbiacare Services Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Columbiacare Services Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-25.
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