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Organization Active NPI

Commonspirit Oregon

  • Community Based Hospice Care Agency
  • Roseburg, OR
National Provider Identifier
1649208802
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
141133 Issued in OR
Legal business name
COMMONSPIRIT OREGON
Practice address
2675 NW Edenbower Blvd Ste 200
Roseburg, OR 97471-6201
Phone
(541) 677-2384
Fax
(541) 677-2498
NPI assigned
Jun 28, 2006
Organization subpart
Yes
Parent organization
COMMONSPIRIT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 141133 OR Primary

Addresses

Primary practice location

2675 NW Edenbower Blvd Ste 200
Roseburg, OR 97471-6201

Mailing address

2675 NW Edenbower Blvd Ste 200
Roseburg, OR 97471-6201
Phone (541) 677-2384

Other practice location 1

2400 NW Stewart Pkwy
Suite 200
Roseburg, OR 97471-5659
Phone (541) 677-2458

Other identifiers 1

IdentifierTypeStateIssuer
132022MedicaidOR

Other names 2

  • Mercy Medical Center Hospice Doing business as
  • Mercy Medical Center Hospice Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000158 OR Part A Provider - Hospice 9234047697 Practice locations: Roseburg, OR

Other NPIs with the same Medicare PAC ID 3

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

Hospice certification: CCN 381521

Legal name
COMMONSPIRIT OREGON
Doing business as
MERCY MEDICAL CENTER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 23, 1991
Last certification
Feb 16, 2018
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Jul 6, 1973 in OR
Enrollment address
2675 NW Edenbower Blvd
Roseburg, OR 97471-6201

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center Inc12 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 11

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

Locations

2675 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 677-2384

2675 NW Edenbower Blvd
Ste 200
Roseburg, OR 97471
Phone (541) 677-2384

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Jamie Christine Poindexter Individual Corporate OfficerMarket VP Operational Finance Jan 2, 2024
Tanya C Snow Individual W-2 Managing EmployeeAd; Oct 1, 2017
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 29, 2007 100%
Operational/Managerial Control Oct 29, 2007 100%
Deborah M Jones Individual Corporate DirectorAdvisory Board Member Jul 1, 2011
David Nosacka Individual Corporate OfficerSVP Cfo Jul 5, 2021
W-2 Managing EmployeeSVP Cfo Jul 5, 2021
Consolidated Health Services LLC Organization, Loveland, OH Corporation, LLC, For-profit Operational/Managerial Control Feb 1, 2019 100%
Terika Richardson Mbanu Individual Corporate OfficerPresident CSH Jan 5, 2024
Toby a. Luther Individual Corporate DirectorAdvisory Board Member Jan 1, 2017
Daniel J Barchi Individual Corporate DirectorBoard Member May 1, 2025
Aden H Bliss Individual Corporate DirectorBoard Member Jul 1, 2019
Russell Woolley Individual Corporate OfficerPresident, Ceo Div Oct 2, 2023
Henni Tambot Abrio Individual W-2 Managing EmployeeMD; Mar 1, 2020
Kathleen D Sanford Individual Corporate DirectorBoard Member May 1, 2025
Jared Cordon Individual Corporate DirectorAdvisory Board Member May 1, 2025
Rachel Porkrandt Individual Corporate DirectorAdvisory Board Member May 1, 2025
Neal S Brown Individual Corporate DirectorAdvisory Board Member Jul 1, 2012
Julie Manas Individual Corporate OfficerPresident Jan 2, 2026
Corporate DirectorBoard Member, President Jan 2, 2026
Miriam Chambliss Individual Corporate OfficerSecretary May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Mercy Medical Center HospiceCCN 381521
Ownership
Non-Profit
Certified
Oct 23, 1991
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1649208802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 NW EDENBOWER BLVD STE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716201",
            "telephone_number": "541-677-2384",
            "fax_number": "541-677-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 NW EDENBOWER BLVD STE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716201",
            "telephone_number": "541-677-2384",
            "fax_number": "541-677-2498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 NW Stewart Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974715659",
            "country_code": "US",
            "telephone_number": "541-677-2458",
            "fax_number": "541-677-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMONSPIRIT OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT HEALTH",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "141133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132022",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Center Hospice Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.