BRIDGESTONE – NPI #1073885141
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

BRIDGESTONE is a community based residential treatment facility located in WILSONVILLE, OR. NPPES has assigned the NPI number 1073885141 to BRIDGESTONE on February 03, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGESTONE” is a dba name, the actual legal business name for this organization is COLUMBIA CARE SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGESTONE below.

NPI Profile for
COLUMBIA CARE SERVICES

NPI Number
1073885141
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBIA CARE SERVICES
Doing Business As (dba): BRIDGESTONE
Primary location
29549 SW VILLEBOIS DR S
WILSONVILLE, OR 97070-7329
Phone: (503) 427-0172 Fax: (503) 427-0798
Mailing address
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone: (541) 585-8170 Fax: (541) 858-8167
Organization Subpart
No
Authorized Official
ROBERT BECKETT
EXECUTIVE DIRECTOR
Phone: (541) 858-8170
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.