Commonspirit Oregon

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

141133 Issued in OR

Legal business name

COMMONSPIRIT OREGON

Doing business as

Mercy Medical Center Roseburg

Practice address

2700 NW Stewart Pkwy
Roseburg, OR 97470-1281

Phone

(541) 677-2458

Fax

(541) 677-1554

NPI assigned

Jul 5, 2006

Last updated

Oct 23, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHOLIC HEALTH INITIATIVESAs reported in NPPES

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

Authorized official

Name

Jamie C Poindexter

Title

Market VP Operational Finance

Phone

(541) 677-2458

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Mercy Medical Center Roseburg Doing business as
• Mercy Behavioral Health Unit Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083645428. Details of each certification follow.

• CCN 38S027 Hospital · Details

Hospital certification: CCN 38S027

Legal name

COMMONSPIRIT OREGON

Doing business as

MERCY MEDICAL CENTER ROSEBURG

Organization structure

CorporationNon-profit

Enrollment address

2601 NW Mercy Dr
Ste 101
Roseburg, OR 97471-1403
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • Surgery Physician
  • Roseburg, OR
  • NPI 1215106133

  9234047697

  Same PAC ID
• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198

  9234047697

  Same PAC ID
• Commonspirit Oregon

  dba Mercy Medical Center Hospice

  • Community Based Hospice Care Agency
  • Roseburg, OR
  • NPI 1649208802

  9234047697

  Same PAC ID

Part of

Catholic Health Initiatives

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • Surgery Physician
  • Roseburg, OR
  • NPI 1013450287

  Member Of

  NPD member

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1083645428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711214",
            "telephone_number": "541-677-2458",
            "fax_number": "541-677-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701281",
            "telephone_number": "541-677-2458",
            "fax_number": "541-677-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 NW Mercy Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711403",
            "country_code": "US",
            "telephone_number": "541-375-4616",
            "fax_number": "541-375-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMONSPIRIT OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MARKET VP OPERATIONAL FINANCE",
        "authorized_official_telephone_number": "541-677-2458"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OR",
            "license": "141133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123109",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center Roseburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Behavioral Health Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Behavioral Health Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John William Collins, M.D.
• Kimo Cecil Collins, LMT
• Molly C Collins, LCSW
• Steven Collins, MA, LPC
• Commonspirit Oregon (CHI Mercy Medical Center)
• Commonspirit Oregon (CHI Mercy Medical Center)
• Commonspirit Oregon (CHI Mercy Medical Center)
• Commonspirit Oregon (Mercy Medical Center Hospice)
• Commonspirit Oregon (Mercy Medical Center Roseburg)
• Community Cancer Foundation (Community Cancer Center)

• Psychiatric Hospital Unit in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Psychiatric Hospital Unit in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.