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Contact Information

JCMH - HAZEL CENTER
1911 HAZEL AVE
MEDFORD, OR97501-1630
 Phone: 541-734-3950
 Fax: 541-734-3960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for JCMH - HAZEL CENTER

NPI Number 1144596115
LBN Legal business name JCMH - HAZEL CENTER
Authorized official GORDON NORMAN - (PROGRAM MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2012
Last updated 03/23/2012 - About 14 years ago
Identifiers
OR License # 514136
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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