Organization Active NPI

The Salvation Army

  • Case Management Agency
  • Medford, OR
National Provider Identifier
1164220802
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE SALVATION ARMY
Practice address
304 Beatty St
Medford, OR 97501-5708
Phone
(541) 773-6965
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Randy Mulch
Title
Major/Corps Officer
Phone
(541) 773-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

304 Beatty St
Medford, OR 97501-5708

Mailing address

PO Box 757
Medford, OR 97501-0055
Phone (541) 773-6965

Other names 1

  • The Salvation Army Medford Citadel Corps Doing business as

National Provider Directory

National Provider Directory

Locations

304 Beatty St
Medford, OR 97501
Phone (541) 773-6965

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1164220802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010055",
            "telephone_number": "541-773-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BEATTY ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015708",
            "telephone_number": "541-773-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MULCH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MAJOR/CORPS OFFICER",
        "authorized_official_telephone_number": "541-773-6965"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Salvation Army Medford Citadel Corps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2025; 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.