COUNTY OF JACKSON (NPI# 1376095836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095836 |
| Entity Type | Organization |
| Organization Name | COUNTY OF JACKSON |
| Practice Address |
140 S Holly St Medford OR 97501-3113 |
| Practice Telephone | 5417748200 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | MARK ORNDOFF (DIRECTOR) |
| Authorized Official Telephone | 5417747878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851601132 | County of Jackson | Ambulance | 260 Pattonsville Rd, Jackson, OH 45640-9452 | 2010-10-20 |
| 1952445025 | County of Jackson | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2007-02-20 |
| 1609912096 | County of Jackson | Case Management | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-01-30 |
| 1659934305 | County of Jackson | Clinic/Center | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2019-04-18 |
| 1558738872 | County of Jackson | Early Intervention Provider Agency | 421 County Road R, Black River Falls, WI 54615-5129 | 2015-08-24 |
| 1568746808 | County of Jackson | Clinic/Center | 538 Scotts Creek Rd, Suite 100, Sylva, NC 28779-5281 | 2011-10-05 |
| 1801114632 | County of Jackson | Clinic/Center | 421 County Road R, Black River Falls, WI 54615-5129 | 2010-05-04 |
| 1356466098 | County of Jackson | Public Health or Welfare | 200 E Main St, Jackson, OH 45640-1716 | 2007-03-20 |
| 1992842348 | County of Jackson | Clinic/Center | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-02-01 |
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF JACKSON | 21200 Highway 62, Shady Cove, OR 97539-9715 |
| System for Award Management (SAM) Entities | COUNTY OF JACKSON; VILLAGE OF ELKVILLE | 405 S Sixth St, Elkville, IL 62932-1044 |
| Street Address |
140 S HOLLY ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087333 | Elizabeth Ann Pischel | Advanced Practice Midwife | 140 S Holly St, Greentree, Medford, OR 97501-3113 | 2006-09-24 |
| 1518564434 | Melissa Olena Zivanov | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-10-04 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1487279402 | Autumn Jewel Doshier | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-15 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1801435243 | Jeanelle Kline | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-01-02 |
| 1255983979 | Griselda C Veloz | Nurse's Aide | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-12 |
| 1164084497 | Martha Griselda Rodriguez | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-08 |
| 1083179121 | Anthony Kahaly | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2019-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1255835104 | Columbiacare Services | Clinic/Center | 850 Swing Ln, Medford, OR 97501-1790 | 2018-03-23 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1407493513 | Peace In Mind Counseling | Clinic/Center | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2019-12-08 |
| 1649820762 | Allison Epstein, Ma, Lpc, LLC | Clinic/Center | 520 Stokes Rd Ste A10, Medford, NJ 08055-2904 | 2019-09-19 |
| 1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
| 1992248009 | Columbiacare Services | Clinic/Center | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2016-11-21 |
| 1861942096 | Columbiacare Services Inc | Clinic/Center | 201 W 6th St, Medford, OR 97501-2708 | 2016-10-12 |
| 1760751622 | Twin Oaks Community Services, Inc | Clinic/Center | 85 Union St, Medford, NJ 08055-2432 | 2011-12-22 |
| 1245432509 | Community Works, Inc. | Clinic/Center | 201 W Main St, #3d, Medford, OR 97501-2744 | 2007-05-31 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on COUNTY OF JACKSON.
| 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.