COUNTY OF JACKSON
NPI 1710933379
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR

Q: What is County Of Jackson's NPI number?

The NPI number for County Of Jackson is 1710933379. It was assigned to this organization in the NPPES registry on May 25, 2006.

Q: What is County Of Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for County Of Jackson was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 25, 2006

140 SOUTH HOLLY STREET, MEDFORD, OR 97501(541) 774-8200(541) 774-7964 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About County Of Jackson NPPES

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

COUNTY OF JACKSON (NPI 1710933379) is a healthcare organization registered as a mental health (including community mental health center) in Medford, Oregon and active in the NPI registry since May 2006. The organization lists Mark Jerry Orndoff, Director, as its authorized official.

NPPES Registry Identity

NPI1710933379

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCOUNTY OF JACKSON

Location Address140 SOUTH HOLLY STREETMedford, OR 97501

Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964

Phone(541) 774-8200

Fax(541) 774-7964

Organization SubpartNo

Authorized OfficialMark Jerry OrndoffDirector · (541) 774-8200

Enumeration DateMay 25, 2006

Last NPPES UpdateDecember 11, 2014

✔ NPI 1710933379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 200250069NP (OR)

Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

140 SOUTH HOLLY STREET, Medford, OR 97501

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Other Identifiers 6

Medicare ID-Type UnspecifiedR0000WCJFFOR

Medicaid193870OR

Medicaid043153OR

Medicaid096883OR

Medicaid096727OR

Medicaid320176OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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.

PAULA M WEBB

Case Manager/Care Coordinator