CRC HEALTH OREGON, LLC (NPI# 1225241441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225241441 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH OREGON, LLC |
| Other Organization Name | ALLIED HEALTH SERVICES MEDFORD |
| Practice Address |
777 Murphy Rd Medford OR 97504-8425 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 5417722763 |
| Practice Fax Number | 5417343161 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Allied Health Services Medford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801947668 | Crc Health Oregon, LLC | Clinic/Center | 324 Nw Davis St., Portland, OR 97209 | 2007-01-16 |
| 1558412320 | Crc Health Oregon, LLC | Clinic/Center | 2600 Se Belmont St, Portland, OR 97214 | 2007-01-16 |
| 1184775967 | Crc Health Oregon, LLC | Clinic/Center | 10763 Sw Greenburg Rd, Ste 100, Tigard, OR 97223 | 2007-01-16 |
| 1932250719 | Crc Health Oregon, LLC | Clinic/Center | 6601 Ne 78th Court, Ste A3, Portland, OR 97218 | 2007-01-16 |
| 1427397074 | Crc Health Oregon, LLC | Clinic/Center | 1160 Liberty St Se, Salem, OR 97302 | 2013-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
777 MURPHY RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831991 | Shawn Sorensen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
| 1619588464 | Terry Darlene Hansen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
| 1801411889 | Kelly Mcevilly | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-06-15 |
| 1205458072 | Deanna Granacki | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-05-14 |
| 1801416466 | Jamie Bradford | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-23 |
| 1528697596 | Jacob James Henderson | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-02 |
| 1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
| 1811529647 | Rachele Bedsole | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-10 |
| 1487285425 | Laurel Rose Pew | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-01-29 |
| 1114561925 | Keriann Ensworth | Licensed Practical Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2019-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386706919 | Marion County | Clinic/Center | 2045 Silverton Rd Ne, Salem, OR 97301-0100 | 2006-12-13 |
| 1992897193 | Ram Clinic Inc. | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5120 | 2006-09-28 |
| 1851808562 | Integrated Health Clinics Ne LLC | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-01-03 |
| 1427397074 | Crc Health Oregon, LLC | Clinic/Center | 1160 Liberty St Se, Salem, OR 97302 | 2013-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.