OPTIONS FOR SOUTHERN OREGON (NPI# 1548511694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548511694 |
| Entity Type | Organization |
| Organization Name | OPTIONS FOR SOUTHERN OREGON |
| Other Organization Name | HAZEL CENTER SRTF |
| Practice Address |
1911 Hazel Ave Medford OR 97501-1630 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414729900 |
| Mailing Telephone | 5414762373 |
| Mailing Fax Number | 5414761526 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | KARLA MCCAFFERTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5414762373 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAID AGENCY # | 209973 | 01 |
| OR | MEDICAID AGENCY PROVIDER #11/08 | 500500016 | 01 |
| Other Name | Type Code |
|---|---|
| HAZEL CENTER SRTF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 310 Bushnell Way, Grants Pass, OR 97527-9103 | 2015-05-11 |
| 1023253770 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2008-12-10 |
| 1346485042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 900 Hitching Post Rd, Grants Pass, OR 97526-9710 | 2008-12-09 |
| 1558366492 | Options for Southern Oregon | Case Management | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2005-06-16 |
| 1205489994 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-07-22 |
| 1831651843 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-04-01 |
| 1225559222 | Options for Southern Oregon | Clinic/Center | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-29 |
| 1336660331 | Options for Southern Oregon | Clinic/Center | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2017-06-29 |
| 1306367305 | Options for Southern Oregon | Clinic/Center | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-06-29 |
| 1104346782 | Options for Southern Oregon | Case Management | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPTIONS FOR SOUTHERN OREGON INC | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON, INC. | 1215 Sw G St, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON- JACKSON COUNTY | 1215 Sw G St, Grants Pass, OR 97526 |
| Street Address |
1911 HAZEL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306912324 | Benjamin Matthew Bryan | Social Worker | 1911 Hazel Ave, Medford, OR 97501-1630 | 2006-11-28 |
| 1245842277 | John Trent Stoy | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2020-08-20 |
| 1760020432 | Angus Matthew Gray | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-12-12 |
| 1093365413 | Giovanna Peitz | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-09-17 |
| 1417507427 | Tanya Lore Weeks | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-09-12 |
| 1710530472 | Norman Treminio Castillo Iv | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-07-22 |
| 1972085959 | Lauren Tuosto | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2018-09-05 |
| 1508313503 | Kathleen Borden | Counselor | 1911 Hazel Ave, Medford, OR 97501 | 2016-09-07 |
| 1144596115 | Jcmh - Hazel Center | Case Management | 1911 Hazel Ave, Medford, OR 97501-1630 | 2012-03-23 |
| 1861762809 | Ian Joseph Moore | Specialist | 1911 Hazel Ave, Medford, OR 97501 | 2012-01-09 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218553 | Columbiacare Serices | Community Based Residential Treatment Facility, Mental Illness | 1998 Sky Park Dr Ste 102, Medford, OR 97504-5395 | 2016-07-01 |
| 1003262106 | Catholic Charities Diocese of Trenton | Community Based Residential Treatment Facility, Mental Illness | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-06 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1134270341 | Laurel Hill Inn, Ltd | Community Based Residential Treatment Facility, Mental Illness | 121 Mystic St, Medford, MA 02155-3463 | 2007-01-15 |
| 1861918278 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2016 Terrel Dr, Medford, OR 97501-8154 | 2017-08-17 |
| 1508126368 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-25 |
| 1104186014 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-24 |
| 1780988253 | Jackson County Mental Health | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2010-12-27 |
| 1649466475 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504 | 2007-09-14 |
| Find all providers in MEDFORD | ||||
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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.