NPIMap

Organization Active NPI

JCMH - Hazel Center

  • Case Management Agency
  • Medford, OR
National Provider Identifier
1144596115
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
514136 Issued in OR
Legal business name
JCMH - HAZEL CENTER
Practice address
1911 Hazel Ave
Medford, OR 97501-1630
Phone
(541) 734-3950
Fax
(541) 734-3960
NPI assigned
Mar 23, 2012
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Gordon A Norman, LPCNPI 1487958369
Title
Program Manager
Phone
(541) 737-3952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 514136 OR Primary

Addresses

Primary practice location

1911 Hazel Ave
Medford, OR 97501-1630

Mailing address

1911 Hazel Ave
Medford, OR 97501-1630
Phone (541) 734-3950

National Provider Directory

National Provider Directory
Tax ID family
Jackson County8 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1144596115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HAZEL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011630",
            "telephone_number": "541-734-3950",
            "fax_number": "541-734-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HAZEL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011630",
            "telephone_number": "541-734-3950",
            "fax_number": "541-734-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCMH - HAZEL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-737-3952",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "514136",
            "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 Mar 23, 2012; 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.