COLUMBIACARE SERVICES – NPI #1356438592
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.

COLUMBIACARE SERVICES is a community based residential treatment facility located in COOS BAY, OR. NPPES has assigned the NPI number 1356438592 to COLUMBIACARE SERVICES on October 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COLUMBIACARE SERVICES is also known by the name COOS CRISIS RESOLUTION CENTER. 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.

The NPI profile was previously updated about 18 years ago on Mar 28, 2008. 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 COLUMBIACARE SERVICES below.

NPI Profile for
COLUMBIACARE SERVICES

NPI Number
1356438592
Enumeration Date

(more than 19 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
COLUMBIACARE SERVICES
Other Name: COOS CRISIS RESOLUTION CENTER
Primary location
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone: (541) 266-8480 Fax: (541) 266-8479
Mailing address
1175 E MAIN ST
1B
MEDFORD, OR 97504-7499
Phone: (541) 858-8170 Fax: (541) 858-8167
Organization Subpart
No
Authorized Official
ROBERT BECKETT
EXECUTIVE DIRECTOR
Phone: (541) 858-8170
Updated
Identifiers

Identifiers for COLUMBIACARE SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR312033
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.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OR 545
385H00000X
- Respite Care
OR 545

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.