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JENNINGS LODGE
NPI 1508126368
Community Based Residential Treatment Facility, Mental Illness in Medford, OR

Active since May 25, 2012
3587 HEATHROW WAY, MEDFORD, OR 97504(541) 858-8170 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennings Lodge NPPES

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

JENNINGS LODGE (NPI 1508126368) is a healthcare organization registered as a community based residential treatment facility, mental illness in Medford, Oregon and active in the NPI registry since May 2012. The organization lists Robert Beckett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508126368
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address3587 HEATHROW WAYMedford, OR 97504-4004
Mailing Address4545 Se Ina AveMilwaukie, OR 97267-5916 · (541) 858-8170
Phone(541) 858-8170
Organization SubpartNo
Authorized OfficialRobert BeckettExecutive Director · (541) 858-8170
Enumeration DateMay 25, 2012
✔ NPI 1508126368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3587 HEATHROW WAY, Medford, OR 97504
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Other Names 1

Doing Business AsJennings Lodge

Other Providers at the Same Location NPPES 20

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

MS. KENDRA GENELLE BROWN RN, BSN, QMHP
Registered Nurse
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (503) 858-8170
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
MS. GAELEN LAUREL THUROW
Counselor (Mental Health)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
MARY KLINE
Counselor (Mental Health)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
CYNTHIA MARTINEZ
Counselor (Mental Health)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
TIFFANY A WELDON
Registered Nurse (Psychiatric/Mental Health)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
ALMA HADZIDEDIC
Counselor (Mental Health)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
MICHAEL GREGORY
Counselor (Professional)
3587 HEATHROW WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170

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's NPI number?

The NPI number for Columbiacare Services is 1508126368. It was assigned to this organization in the NPPES registry on May 25, 2012. The provider is doing business as Jennings Lodge.

Where is Columbiacare Services located?

Columbiacare Services is located at 3587 Heathrow Way, Medford, OR 97504. The listed phone number is (541) 858-8170.

What is Columbiacare Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Columbiacare Services was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.