JOSEPHINE COUNTY
NPI 1295737336
Community/Behavioral Health in Grants Pass, OR

Active since June 01, 2005CLIA 38D2045177 · Waiver
301 NW F STREET, GRANTS PASS, OR 97526(541) 474-5404(541) 474-5103 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2018, Mar 14, 2018 (2 updates tracked since 2018).

About Josephine County NPPES

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

JOSEPHINE COUNTY (NPI 1295737336) is a healthcare organization registered as a community/behavioral health in Grants Pass, Oregon and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists James Goodwin, Director, Juvenile Justice, as its authorized official.

NPPES Registry Identity

NPI1295737336
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJOSEPHINE COUNTY
Location Address301 NW F STREETGrants Pass, OR 97526
Mailing Address301 Nw F StreetGrants Pass, OR 97526 · (541) 474-5186 · Fax (541) 474-5181
Fax(541) 474-5103
Organization SubpartNo
Authorized OfficialJames GoodwinDirector, Juvenile Justice · (541) 474-5186
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
✔ NPI 1295737336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
301 NW F STREET, Grants Pass, OR 97526

Other Identifiers 4

Medicaid043138OR
Medicaid320093OR
Medicaid500-500-168OR
Medicaid097519OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josephine County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20050902000312Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Josephine County, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1033112271
280 MAPLE ST
Ashland, OR 97520
(541) 201-4000
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2045177

Josephine County(or) Dba Josephine County Jail Clinic · Grants Pass, OR
Active · expires Apr 19, 2027
CLIA Number38D2045177
Laboratory TypePrison
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDavid D. Candelaria
Laboratory Phone(541) 474-5142
Laboratory LocationJosephine County(or) Dba Josephine County Jail Clinic1901 NE F Street, Grants Pass, OR 97526
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Josephine County's NPI number?

The NPI number for Josephine County is 1295737336. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Josephine County located?

Josephine County is located at 301 NW F Street, Grants Pass, OR 97526. The listed phone number is (541) 474-5404.

What is Josephine County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Josephine County enrolled in Medicare?

Yes. Josephine County is registered in the Medicare PECOS enrollment system.

When is Josephine County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Mass Immunization (Roster Biller Only)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Josephine County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Josephine County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Josephine County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2045177) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Josephine County accept?

Health plans from Moda Health Plan, Inc. list Josephine County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Josephine County was last updated on March 19, 2018. 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.