LINCOLN PARK
NPI 1104186014
Community Based Residential Treatment Facility, Mental Illness in Medford, OR
NPI Status: Active since May 24, 2012
Contact Information
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
Phone: (541) 858-8170
- Organization
- Community Based Residential Treatment Fa...
About LINCOLN PARK
This page provides the complete NPI Profile along with additional information for Lincoln Park, a provider established in Medford, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1104186014 assigned on May 2012. The practitioner's primary taxonomy code is 320800000X with license number 810609831 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Lincoln Park. The authorized official of this NPI record is Mr. Robert Beckett (Executive Director)
- NPI
- 1104186014
- Provider Legal Name
- COLUMBIACARE SERVICES
- Other Organization Name
- LINCOLN PARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Location Phone
- (541) 858-8170
- Mailing Address
- 2409 SE 139TH AVE PORTLAND, OR 97233
- Mailing Phone
- (541) 858-8170
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2012
- Last Update Date
- 05-24-2012
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 810609831
- License State
- OR
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 8 | 6 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 8 | 12 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 8 + 1 + 2 + 0 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1104186014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PEACE OF MIND IN HOME CARE, LLC
In Home Supportive Care
3587 HEATHROW WAY
SUITE A
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
LAUREL RAMSEY
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MS. GAELEN LAUREL THUROW
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MARTHA MCGOWEN
Counselor
(Professional)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MS. KENDRA GENELLE BROWN RN, BSN, QMHP
Registered Nurse
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
KATHLEEN KINZIE
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
REBECCA PHILLIPS
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
ERYN JOYCE
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MARY KLINE
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
LINDA BROWN
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
ALMA HADZIDEDIC
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
CYNTHIA MARTINEZ
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
STEPHANIE LYNN LANE
Case Manager/Care Coordinator
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Case Management
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Clinic/Center
(Adolescent and Children Mental Health)
3587 HEATHROW WAY
SUITE #1
MEDFORD, OR
ZIP 97504
MICHAEL GREGORY
Counselor
(Professional)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
JOSEPH CHICK
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES INC
Psychiatric Residential Treatment Facility
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
WENDY STUCK
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104186014, enumerated as an "organization" on May 24, 2012.
The provider is located at 3587 HEATHROW WAY MEDFORD, OR 97504 and the phone number is (541) 858-8170.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
