PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1508949884
Rehabilitation Unit in Medford, OR

Active since October 23, 2006
1111 CRATER LAKE AVE, MEDFORD, OR 97504(503) 215-4323(503) 215-0297 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2025, May 7, 2025, Mar 5, 2025 and 2 more (5 updates tracked since 2020).

  • Organization
  • Rehabilitation Unit
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Medford, Oregon operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1508949884 assigned on October 2006. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1508949884 Verify this NPI
Provider Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Name Type
(6)
Entity Type
Organization
Location Address
1111 CRATER LAKE AVE MEDFORD, OR 97504
Location Phone
(503) 215-4323
Location Fax
(503) 215-0297
Mailing Address
PO BOX 31001-4199 PASADENA, CA 91110
Mailing Phone
(503) 215-4323
Mailing Fax
(503) 215-0297
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-23-2006
Last Update Date
05-27-2025
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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

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000ZGBJCOTHER (01)ORPART B MEDICARE PTAN
286211MEDICAID (05)OR 

Reviews for PROVIDENCE HEALTH & SERVICES - OREGON

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE, PROVIDENCE MEDFORD MEDICAL CENTER- EMERGENCY DEPARTMENT
MEDFORD, OR 97504
Radiology (Radiation Oncology)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Radiology (Radiation Oncology)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Internal Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Internal Medicine (Critical Care Medicine)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Medicine & Rehabilitation
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Family Medicine
1111 CRATER LAKE AVE, EMERGENCY DEPARTMENT, PROVIDENCE MEDFORD MEDICAL CENTER
MEDFORD, OR 97504
Clinical Nurse Specialist (Perioperative)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Physician Assistant
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE, ATTENTION ED
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Pharmacist
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Medicine & Rehabilitation
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Emergency Medicine
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Occupational Therapist
1111 CRATER LAKE AVE
MEDFORD, OR 97504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508949884, enumerated as an "organization" on October 23, 2006.

The provider is located at 1111 CRATER LAKE AVE MEDFORD, OR 97504 and the phone number is (503) 215-4323.

Rehabilitation Unit with taxonomy code 273Y00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.