| Mercy Behavioral Health Unit | |
|
2700 Nw Stewart Pkwy Roseburg OR 97470-1281 | |
| (541) 677-2458 | |
| (541) 677-1554 |
| Full Name | Mercy Behavioral Health Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | John S. Kasberger (VICE PRESIDENT CFO) |
| Authorized Official Contact | 5416772458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Behavioral Health Unit 2700 Nw Stewart Pkwy Roseburg OR 97471-1281 Ph: (541) 677-2458 | Mercy Behavioral Health Unit 2700 Nw Stewart Pkwy Roseburg OR 97470-1281 Ph: (541) 677-2458 |
| NPI Number | 1083645428 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083645428 | NPI | - | NPPES |
| 123109 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 141133 (Oregon) | Primary |
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