National Provider Identifier Database

COUNTY OF JACKSON
Mental Health (Including Community Mental Health Center)

Contact Information

COUNTY OF JACKSON
140 SOUTH HOLLY STREET
MEDFORD, OR  97501
Phone: 541-774-8200
Fax: 541-774-7964
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Family Planning Facility 261QA0005X
Case Manager/Care Coordinator 171M00000X
Methadone 261QM2800X
Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for COUNTY OF JACKSON

NPI Number 1710933379
Legal business name
LBN		 COUNTY OF JACKSON
Authorized official MARK ORNDOFF - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/25/2006
Last updated 12/11/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 200250069NP
  • OR Medicaid: 043153
  • OR Medicaid: 096727
  • OR Medicaid: 096883
  • OR Medicaid: 193870
  • OR Medicaid: 320176

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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