MEDICARE: COMMUNITY WORKS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245432509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY WORKS, INC.

Provider Business Mailing Address
First Line	:	201 W MAIN ST
Second Line	:	#3D
City	:	MEDFORD
State	:	OR
Zip	:	97501-2744
Country	:	US
Telephone Number	:	541-779-2393
Fax Number	:	541-779-3317

Provider Business Practice Location Address
First Line	:	201 W MAIN ST
Second Line	:	#3D
City	:	MEDFORD
State	:	OR
Zip	:	97501-2744
Country	:	US
Telephone Number	:	541-779-2393
Fax Number	:	541-779-3317

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS
Name	:	MS. CONNIE R EIDSON
Credential	:
Telephone Number	:	541-779-2393

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	05/09/2013

Similar Medicare Providers

1578490926 — EIREEN DALE MADELO
Practice Location Address:

201 W MAIN ST
MEDFORD, OR
97501-2744

Practice Phone: 541-281-9026
Practice Fax:

1417034794 — RITA DE-HAAN SULLIVAN PH.D
Practice Location Address:

201 W MAIN ST , SUITE 1B
MEDFORD, OR
97501-2744

Practice Phone: 541-944-5711
Practice Fax:

1780741132 — PARKPLACE COUNSELING CENTER
Practice Location Address:

201 W MAIN ST , SUITE 3C
MEDFORD, OR
97501-2744

Practice Phone: 541-245-9610
Practice Fax: 541-245-9629

1982732392 — VICTOR KLODIN PH.D.
Practice Location Address:

201 W MAIN ST , SUITE 1B
MEDFORD, OR
97501-2744

Practice Phone: 541-261-2172
Practice Fax:

1235253204 — MARCIA M OVERSTREET MS, LPC
Practice Location Address:

201 W MAIN ST STE 3C
MEDFORD, OR
97501-2744

Practice Phone: 541-245-9610
Practice Fax: 541-245-9629

1326240037 — COMMUNITY WORKS, INC.
Practice Location Address:

201 W MAIN ST , #3D
MEDFORD, OR
97501-2744

Practice Phone: 541-779-2393
Practice Fax: 541-779-3317

Directions to “COMMUNITY WORKS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.