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JACKSON COUNTY MENTAL HEALTH NPI 1780988253


NPI Information

NPI: 1780988253
Provider Name: JACKSON COUNTY MENTAL HEALTH
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1911 HAZEL AVE
MEDFORD, OR
ZIP 97501
Phone: (541) 734-3953
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JACKSON COUNTY MENTAL HEALTH 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. JACKSON COUNTY MENTAL HEALTH NPI is 1780988253. The provider is registered as an organization entity type.

The provider's business location address is:

1911 HAZEL AVE
MEDFORD, OR
ZIP 97501-630
Phone: (541) 734-3953

The provider's authorized official is Gordon A Norman .
The authorized official title is Program Manager and has the following contact phone number (541) 734-3952.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 12/27/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.