COLUMBACARE SERVICES (NPI# 1629603196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629603196 |
| Entity Type | Organization |
| Organization Name | COLUMBACARE SERVICES |
| Practice Address |
70362 Kunze Ln Boardman OR 97818-8013 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5418588170 |
| Practice Fax Number | 5418588167 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MICHAEL SEWITSKY (FINANCE DIRECTOR) |
| Authorized Official Telephone | 5418588170 |
| 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 |
| Other Name | Type Code |
|---|---|
| Columbia River Ranch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1619582996 | Columbacare Services | Clinic/Center | 1057 Patterson St, Eugene, OR 97401-3315 | 2020-09-13 |
| 1346855624 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Ne Halsey St, Portland, OR 97230-6734 | 2020-09-13 |
| 1508420076 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 29398 Recovery Way, Junction City, OR 97448-8442 | 2019-04-30 |
| 1942762547 | Columbacare Services | Psychiatric Residential Treatment Facility | 29398 Recovery Way Ste 3, Junction City, OR 97448-8442 | 2019-04-02 |
| 1902374531 | Columbacare Services | Clinic/Center | 3200 Juanipero Way, Medford, OR 97504 | 2018-11-13 |
| 1992223630 | Columbacare Services | Clinic/Center | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2017-09-01 |
| 1841718574 | Columbacare Services | Clinic/Center | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2017-09-01 |
| Street Address |
70362 KUNZE LN |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673513 | Oregon Regional Behavioral Services | Psychiatric Residential Treatment Facility | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2006-07-19 |
| 1801423538 | Angela Marie Mendoza | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-24 |
| 1831725308 | Colleen Sonja Drake | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-17 |
| 1467001693 | Cynthia J Vieira | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-09-10 |
| 1073161790 | Carla C Llamas | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-08-27 |
| 1851949572 | Nancy J Keith | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-08-27 |
| 1700443116 | Donna K Loftus | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-05-21 |
| 1932763554 | Teresa Resendiz-rodriguez | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-04-29 |
| 1962066233 | Jessica R Chavez | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-04-23 |
| 1164988424 | Sandra Ivette Zuniga | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| Find all providers in zip 97818 | ||||
| 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 |
|---|---|---|---|---|
| 1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLUMBACARE SERVICES.
| 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.