Summit Residential South

LBN: Columbacare Services
Summit Residential South is an health care organization with primary practice located at 622 57Th St , Springfield OR 97478-6821. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Columbacare Services can be contacted via phone (541) 858-8170, or through Sewitsky, Michael via phone (541) 858-8170.

Contact Information

Primary practice address
622 57Th St Springfield OR 97478-6821
Phone: (541) 858-8170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sewitsky, Michael
Phone: (541) 858-8170

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1679073712
LBN Legal business name Columbacare Services
DBA Doing business as Summit Residential South
Authorized official Sewitsky, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2018
Last updated Feb 15th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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