DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COLUMBIACARE SERVICES

MEDICARE: COLUMBIACARE SERVICES
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
1323P00000XPsychiatric Residential Treatment Facility889OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1516824OTHERORCEDAR BAY SERVICE PAYMENT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386787596
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIACARE SERVICES
Provider Business Mailing Address
First Line : 3587 HEATHROW WAY
Second Line :
City : MEDFORD
State : OR
Zip : 97504
Country : US
Telephone Number : 541-858-8170
Fax Number : 541-858-8167
Provider Business Practice Location Address
First Line : 1592 MONROE ST
Second Line :
City : NORTH BEND
State : OR
Zip : 97459-3657
Country : US
Telephone Number : 541-756-2048
Fax Number : 541-756-2022
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ROBERT C BECKETT
Credential :
Telephone Number : 541-858-8170
Provider Enumeration Date : 02/15/2007
Last Update Date : 05/13/2009

Similar Medicare Providers

1609713825 — LISA MAUREEN ROWE
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-756-2048
Practice Fax: 541-756-2058
1972486843 — SHAYNA RENEE CARSON
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-756-2048
Practice Fax: 541-756-2058
1598894248 — CARRIE JEAN BETTENHAUSEN
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-260-1003
Practice Fax:
1588831481 — DERRICK CAGLEY
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-756-2048
Practice Fax: 541-756-2058
1003193657 — WILLIAM SIMON
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-756-2048
Practice Fax: 541-756-2058
1720350606 — JAMILAH MOONEY
Practice Location Address:
1592 MONROE ST
NORTH BEND, OR
97459-3657
Practice Phone: 541-756-2048
Practice Fax: 541-756-2058

Directions to “COLUMBIACARE SERVICES ” 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.