COLUMBIACARE SERVICES INC
NPI 1861942096
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR

Q: What is Columbiacare Services Inc's NPI number?

The NPI number for Columbiacare Services Inc is 1861942096. It was assigned to this organization in the NPPES registry on October 12, 2016.

Q: What is Columbiacare Services Inc'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.

Active since October 12, 2016CLIA 38D2149799 · Waiver

201 W 6TH ST, MEDFORD, OR 97501(541) 200-2900 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2019, Jun 9, 2017, Feb 6, 2017 and 1 more (4 updates tracked since 2016).

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About Columbiacare Services Inc NPPES

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

COLUMBIACARE SERVICES INC (NPI 1861942096) is a healthcare organization registered as a mental health (including community mental health center) in Medford, Oregon and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through June 10, 2028, maintains a secondary practice location in Medford, and lists Mike David Sewitsky, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1861942096

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCOLUMBIACARE SERVICES INC

Location Address201 W 6TH STMedford, OR 97501-2708

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170

Phone(541) 200-2900

Organization SubpartNo

Authorized OfficialMike David SewitskyFinance Manager · (541) 858-8170

Enumeration DateOctober 12, 2016

Last NPPES UpdateJuly 16, 20194 updates tracked since enumeration

✔ NPI 1861942096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM0801X

201 W 6TH ST, Medford, OR 97501

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Secondary Practice Location 1

Location 1100 E Main St Ste CMedford, OR 97501-6041 · Phone (541) 858-8170 · Fax (541) 858-8167

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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 38D2149799

Columbiacare Services Outpatient Clinic · Medford, OR

Active · expires Jun 10, 2028

CLIA Number38D2149799

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 11, 2026

Certificate Expiration DateJune 10, 2028

Laboratory DirectorRandi M. Gruessing

Laboratory Phone(541) 200-2900

Laboratory LocationColumbiacare Services Outpatient Clinic503 Airport Road, Suite 101, Medford, OR 97504

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

KAREN BURNS

Counselor (Professional)