OPTIONS FOR SOUTHERN OREGON NPI 1548511694

NPI Information

NPI: 1548511694
Provider Name: OPTIONS FOR SOUTHERN OREGON

Other Name: HAZEL CENTER SRTF

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1911 HAZEL AVE
MEDFORD, OR
ZIP 97501
Phone: (541) 472-9900
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OPTIONS FOR SOUTHERN OREGON is a community based residential treatment facility mental illness in Medford, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. OPTIONS FOR SOUTHERN OREGON NPI is 1548511694. The provider is registered as an organization entity type.
The provider Other Name Is Hazel Center Srtf.

The provider's business location address is:

1911 HAZEL AVE
MEDFORD, OR
ZIP 97501-630
Phone: (541) 472-9900

The provider's authorized official is Karla Mccafferty .
The authorized official title is Executive Director and has the following contact phone number (541) 476-2373.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 12/16/2021.

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	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	209973	OTHER	OREGON	MEDICAID AGENCY #
2	500500016	OTHER	OREGON	MEDICAID AGENCY PROVIDER #11/08

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: 11/14/2023

NPI Synchronization or Removal

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