| Columbiacare Services Inc | |
|
201 W 6th St Medford OR 97501-2708 | |
| (541) 200-2900 | |
| Not Available |
| Full Name | Columbiacare Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 W 6th St, Medford, Oregon |
| Authorized Official Name and Position | Mike David Sewitsky (FINANCE MANAGER) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiacare Services Inc 3587 Heathrow Way Medford OR 97504-4004 Ph: (541) 858-8170 | Columbiacare Services Inc 201 W 6th St Medford OR 97501-2708 Ph: (541) 200-2900 |
| NPI Number | 1861942096 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861942096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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