Commonspirit Oregon
Organization Active NPI Psychiatric Hospital Unit · Roseburg, OR
NPI 1811038367 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1811038367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 141133 (OR)
- Legal business name
- COMMONSPIRIT OREGON
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97470-1281 - Phone
- (541) 677-2458
- Fax
- (541) 677-1554
- NPI assigned
- Feb 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMONSPIRIT HEALTH
Authorized official
- Name
- Jamie C Poindexter
- Title
- Market VP Operational Finance
- Phone
- (541) 677-2458
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 11
Practitioners 5
-
Kurt A Brickner, DO
-
Bret R. Hansen, MD
-
Emily Jack, MD
-
Robert G Kloepper, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Mercy Medical Center Inc
- Part of
- Catholic Health Initiatives
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 141133 | OR | Yes |
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
- Mercy Medical Center Roseburg
- Mercy Behavioral Health Services
Other providers in Roseburg, OR
- Commonspirit Oregon
- Commonspirit Oregon
- Commonspirit Oregon
- Commonspirit Oregon
- Commonspirit Oregon
- Community Cancer Foundation
- Community Cancer Foundation
- Community Cancer Foundation
- Community Health Alliance
- Community Health Alliance
All providers in Roseburg, OR · Psychiatric Hospital Unit in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.