PROVIDENCE MEDFORD MEDICAL CENTER
NPI 1013944776
Clinic/Center - Emergency Care in Medford, OR
NPI Status: Active since June 27, 2006
Contact Information
1111 CRATER LAKE AVENUE
MEDFORD, OR
ZIP 97504
Phone: (541) 732-5000
Fax: (541) 732-5131
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 38D2146686
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 04-03-2028
About PROVIDENCE MEDFORD MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Providence Medford Medical Center, a provider established in Medford, Oregon operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1013944776 assigned on June 2006. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1013944776
- Provider Legal Name
- PROVIDENCE MEDFORD MEDICAL CENTER
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1111 CRATER LAKE AVENUE MEDFORD, OR 97504
- Location Phone
- (541) 732-5000
- Location Fax
- (541) 732-5131
- Mailing Address
- P.O. BOX 3308 PORTLAND, OR 97208
- Mailing Phone
- (503) 215-4050
- Mailing Fax
- (541) 732-5131
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2006
- Last Update Date
- 05-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | 140734 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227950 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2146686
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- April 04, 2026
- Certificate Expiration Date
- April 03, 2028
- Laboratory Director
- KELLEY DUNLOP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Medford Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013944776, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013944776, enumerated as an "organization" on June 27, 2006.
The provider is located at 1111 CRATER LAKE AVENUE MEDFORD, OR 97504 and the phone number is (541) 732-5000.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
