COLUMBIACARE SERVICES
NPI 1194173898
Community Based Residential Treatment Facility, Mental Illness in Brookings, OR
- Organization
- Community Based Residential Treatment Fa...
About COLUMBIACARE SERVICES
This page provides the complete NPI Profile along with additional information for Columbiacare Services, a provider established in Brookings, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1194173898 assigned on June 2016. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mike David Sewitsky (Finance Manager)
- NPI
- 1194173898 Verify this NPI
- Provider Name
- COLUMBIACARE SERVICES
- Entity Type
- Organization
- Location Address
- 410 MAPLE ST BROOKINGS, OR 97415
- Location Phone
- (541) 261-0769
- Mailing Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Mailing Phone
- (541) 858-8170
- Mailing Fax
- (541) 858-8167
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2016
- Last Update Date
- 06-03-2016
- 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
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194173898, enumerated as an "organization" on June 03, 2016.
The provider is located at 410 MAPLE ST BROOKINGS, OR 97415 and the phone number is (541) 261-0769.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
