Organization Active NPI

Access

  • Community/Behavioral Health Agency
  • Medford, OR
National Provider Identifier
1073345245
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACCESS
Practice address
3630 Aviation Way
SSVF Program
Medford, OR 97504
Phone
(458) 488-3898
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thaddeus D Crawford, RCFA
Title
Healthcare Navigator
Phone
(458) 488-3898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3630 Aviation Way
SSVF Program
Medford, OR 97504

Mailing address

3630 Aviation Way
SSVF Program
Medford, OR 97504
Phone (458) 488-3898

National Provider Directory

National Provider Directory

Locations

3630 Aviation Way
Medford, OR 97504
Phone (458) 488-3898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1073345245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 AVIATION WAY",
            "address_2": "SSVF PROGRAM",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "458-488-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 AVIATION WAY",
            "address_2": "SSVF PROGRAM",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "458-488-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HEALTHCARE NAVIGATOR",
        "authorized_official_telephone_number": "458-488-3898",
        "authorized_official_credential": "RCFA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.