Columbiacare Services

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Brookings, OR

NPI 1194173898 · NPPES record last updated Jun 3, 2016

Key facts

NPI
1194173898
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Legal business name
COLUMBIACARE SERVICES
Practice address
410 Maple St
Brookings, OR 97415
Phone
(541) 261-0769
NPI assigned
Jun 3, 2016
Organization subpart
No

Authorized official

Name
Mike David Sewitsky
Title
Finance Manager
Phone
(541) 858-8170

Corporate family (same tax ID) 41

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

View all 41

National Provider Directory

Tax ID family
Columbiacare Services Inc (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Yes

Addresses

Primary practice location

410 Maple St
Brookings, OR 97415

Mailing address

3587 Heathrow Way
Medford, OR 97504
Phone (541) 858-8170

Other providers in Brookings, OR

All providers in Brookings, OR · Mental Illness Community Based Residential Treatment Facility in Oregon

Sources for this page

Verify at the official NPI Registry.