COLUMBACARE SERVICES – NPI #1629603196
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.

COLUMBACARE SERVICES is a community based residential treatment facility located in BOARDMAN, OR. NPPES has assigned the NPI number 1629603196 to COLUMBACARE SERVICES on March 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 COLUMBACARE SERVICES below.

NPI Profile for
COLUMBACARE SERVICES

NPI Number
1629603196
Enumeration Date

(more than 6 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
COLUMBACARE SERVICES
Primary location
70362 KUNZE LN
BOARDMAN, OR 97818-8013
Phone: (541) 858-8170 Fax: (541) 858-8167
Mailing address
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone: (541) 858-8170 Fax: (541) 858-8167
Organization Subpart
No
Authorized Official
MICHAEL SEWITSKY
FINANCE DIRECTOR
Phone: (541) 858-8170
Updated
Certification Date
Mar 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.