DRIFTWOOD LODGE
NPI 1609963842
Psychiatric Residential Treatment Facility in Gold Beach, OR

Active since October 09, 2006
29413 RUSSELL ST, GOLD BEACH, OR 97444(541) 247-6566(541) 247-6549 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Driftwood Lodge NPPES

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

DRIFTWOOD LODGE (NPI 1609963842) is a healthcare organization registered as a psychiatric residential treatment facility in Gold Beach, Oregon and active in the NPI registry since October 2006. The organization lists Robert C Beckett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609963842
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address29413 RUSSELL STGold Beach, OR 97444-7748
Mailing Address3587 Heathrow WayMedford, OR 97504 · (541) 858-8170 · Fax (541) 858-8167
Fax(541) 247-6549
Organization SubpartNo
Authorized OfficialRobert C BeckettExecutive Director · (541) 858-8170
Enumeration DateOctober 9, 2006
Last NPPES UpdateMay 19, 2009
NPI 1609963842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in OR · 717
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 717 (OR)
29413 RUSSELL ST, Gold Beach, OR 97444

Other Names 1

Other NameDriftwood Lodge

Other Identifiers 2

Medicaid276114OR
Other513857OR · Dw Service Pmt

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.

Case Manager/Care Coordinator
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Case Management
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444

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 1609963842. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is also known as Driftwood Lodge.

Where is Columbiacare Services located?

Columbiacare Services is located at 29413 Russell St, Gold Beach, OR 97444. The listed phone number is (541) 247-6566.

What is Columbiacare Services's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Columbiacare Services was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.