PONY CREEK BOARD AND CARE
NPI 1124534185
Clinic/Center - Community Health in North Bend, OR

Q: What is Columbiacare Services Inc's NPI number?

The NPI number for Columbiacare Services Inc is 1124534185. It was assigned to this organization in the NPPES registry on December 28, 2017. The provider is doing business as Pony Creek Board And Care.

Q: What is Columbiacare Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since December 28, 2017

2345 MARION ST, NORTH BEND, OR 97459(541) 270-0219 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pony Creek Board And Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONY CREEK BOARD AND CARE (NPI 1124534185) is a healthcare organization registered as a community health in North Bend, Oregon and active in the NPI registry since December 2017. The organization lists Michael Sewitsky, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1124534185

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameCOLUMBIACARE SERVICES INC

Location Address2345 MARION STNorth Bend, OR 97459-2637

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Phone(541) 270-0219

Organization SubpartNo

Authorized OfficialMichael SewitskyFinance Director · (541) 858-8170

Enumeration DateDecember 28, 2017

✔ NPI 1124534185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

2345 MARION ST, North Bend, OR 97459

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Other Names 1

Doing Business AsPony Creek Board And Care

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELENE LOGIUDICE

Counselor (Mental Health)

2345 MARION ST
NORTH BEND, OR 97459

Coos County (541) 271-0219

JENNY KATHRYN HOLT

Counselor (Mental Health)

2345 MARION ST
NORTH BEND, OR 97459

Coos County (541) 751-1550

COREY J WEBER

Counselor (Mental Health)

2345 MARION ST
NORTH BEND, OR 97459

Coos County (541) 271-0219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbiacare Services Inc's NPI number?

The NPI number for Columbiacare Services Inc is 1124534185. It was assigned to this organization in the NPPES registry on December 28, 2017. The provider is doing business as Pony Creek Board And Care.

Where is Columbiacare Services Inc located?

Columbiacare Services Inc is located at 2345 Marion St, North Bend, OR 97459. The listed phone number is (541) 270-0219.

What is Columbiacare Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Columbiacare Services Inc was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.