Ontrack, Inc. in Medford - Substance Abuse Treatment, Children

Ontrack, Inc. - NPI 1881685097

Ontrack, Inc. is a Substance Abuse Treatment, Children in Medford, Oregon. Ontrack, Inc. practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Ontrack, Inc. is 1881685097. The last update date is 2019-03-12.

Ontrack, Inc.'s current location address is 300 W. Main Street, Medford, Oregon. You can contact this provider via phone number 5417721777 and fax number 5417242410. The mailing address for Ontrack, Inc. is 300 W. Main Street, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ontrack, Inc.
Address 300 W. Main Street, Medford, Oregon
Phone Number 5417721777
Fax Number 5417242410
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Ledford Alan
Credentials PHD
Telephone Number 5412002414

NPI Number Detail

NPI Number 1881685097
Provider Enumeration Date 2005-11-04
Last Updated Date 2019-03-12

Provider Mailing Address Detail

Address 300 W. Main Street
City Medford
State Oregon (OR)
Post Code 97501
Phone Number 5417721777
Fax Number 5417242410

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Treatment, Children
Taxonomy 3245S0500X
Licence No 193813
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20740000 OR BLUE CROSS/SHIELD
H2152-01 OR PACIFICSOURCE
193813 OR --
117388 OR MHN

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FAQs about Ontrack, Inc.

What is the unique identifier code issued to Ontrack, Inc. by the Centers for Medicare & Medicaid Services?

The Ontrack, Inc. has been assigned the NPI (National Provider Identifier) 1881685097. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ontrack, Inc. is physically located?

The Ontrack, Inc. is situated at the following address: 300 W. Main Street, Medford, OR 97501.

Could you please share the complete physical location address where Ontrack, Inc.'s facilities are situated?

The facilities of Ontrack, Inc. are physically located at the following address: 300 W. Main Street, Medford, OR, 97501.

On what date did the Ontrack, Inc. receive the assignment of its 1881685097 from the Centers for Medicare & Medicaid Services?

The Ontrack, Inc. was issued its 1881685097 by the Centers for Medicare & Medicaid Services on 2005-11-04.

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

The information related to Ontrack, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-12.

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