COLUMBIACARE SERVICES NPI 1376784355

NPI Information

NPI: 1376784355
Provider Name: COLUMBIACARE SERVICES

Doing Business As: MOSSY MEADOWS

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
20025 MOSSY MEADOWS AVE
OREGON CITY, OR
ZIP 97045
Phone: (541) 858-8170
Get Directions

COLUMBIACARE SERVICES is a community based residential treatment facility mental illness in Oregon City, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COLUMBIACARE SERVICES NPI is 1376784355. The provider is registered as an organization entity type.
The provider Is Doing Business As Mossy Meadows.

The provider's business location address is:

20025 MOSSY MEADOWS AVE
OREGON CITY, OR
ZIP 97045-136
Phone: (541) 858-8170
Fax: (541) 858-8167

The provider's authorized official is Robert C Beckett .
The authorized official title is Executive Director and has the following contact phone number (541) 858-8170.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 8/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	323P00000X	Psychiatric Residential Treatment Facility				No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500615588	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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