Driftwood Lodge

LBN: Columbiacare Services
Driftwood Lodge is an health care organization with primary practice located at 29413 Russell St , Gold Beach OR 97444-7748. 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. Columbiacare Services can be contacted via phone (541) 247-6566, or through Beckett, Robert C via phone (541) 858-8170.

Contact Information

Primary practice address
29413 Russell St Gold Beach OR 97444-7748
Phone: (541) 247-6566
Fax: (541) 247-6549
Website:
Map and Directions
Authorized official contact:
Name: Beckett, Robert C
Phone: (541) 858-8170

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 717 Oregon
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 717 Oregon

Profile Details

NPI number 1609963842
LBN Legal business name Columbiacare Services
DBA Doing business as Driftwood Lodge
Authorized official Beckett, Robert C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated May 19th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609963842 NPPES
Oregon Other 513857 DW SERVICE PMT
Oregon MEDICAID 276114 DW SERVICE PMT

Popular Providers