NPIMap

Organization Active NPI

Commonspirit Oregon

Doing business as Mercy Medical Center Roseburg

  • Psychiatric Hospital Unit
  • Roseburg, OR
National Provider Identifier
1811038367
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
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
Feb 9, 2007
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONSPIRIT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 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
Psychiatric Hospital Unit 273R00000X 141133 OR Primary

Addresses

Primary practice location

2700 NW Stewart Pkwy
Roseburg, OR 97470-1281

Mailing address

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2458

Other names 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000222 OR Part B Supplier - Clinic/Group Practice 9234047697 Receives reassigned benefits from 14 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pendleton, OR; Roseburg, OR

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1811038367",
    "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": "974711281",
            "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": [],
    "basic": {
        "organization_name": "COMMONSPIRIT OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT HEALTH",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center Roseburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.