LINCOLN PARK – NPI #1104186014
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.
LINCOLN PARK is a community based residential treatment facility located in MEDFORD, OR. NPPES has assigned the NPI number 1104186014 to LINCOLN PARK on May 24, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LINCOLN PARK” is a dba name, the actual legal business name for this organization is COLUMBIACARE SERVICES. 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.
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NPI Profile for
COLUMBIACARE SERVICES
(more than 14 years ago)
MEDFORD, OR 97504-4004 Phone: (541) 858-8170 Fax:
PORTLAND, OR 97233-2041 Phone: (541) 858-8170 Fax:
EXECUTIVE DIRECTOR
Phone: (541) 858-8170
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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
OR | 810609831 |
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.