Ontrack Rogue Valley

LBN: Ontrack, Inc.
Ontrack Rogue Valley is an health care organization with primary practice located at 300 W. Main Street , Medford OR 97501. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Agencies / Community/Behavioral Health is the primary health care specialty. Ontrack, Inc. can be contacted via phone (541) 772-1777, or through Ledford, Alan via phone (541) 200-2414.

Contact Information

Primary practice address
300 W. Main Street Medford OR 97501
Phone: (541) 772-1777
Fax: (541) 724-2410
Website:
Map and Directions
Authorized official contact:
Name: Ledford, Alan PHD
Phone: (541) 200-2414

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X L3421 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X L1777 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 131998 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3421 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L1777 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0056 Oregon
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 193813 Oregon
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 193813 Oregon

Profile Details

NPI number 1881685097
LBN Legal business name Ontrack, Inc.
DBA Doing business as Ontrack Rogue Valley
Authorized official Ledford, Alan PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 4th, 2005
Last updated Mar 12th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881685097 NPPES
Oregon Other 020740000 BLUE CROSS/SHIELD
Oregon Other H2152-01 BLUE CROSS/SHIELD
Oregon MEDICAID 193813 BLUE CROSS/SHIELD
Oregon Other 117388 BLUE CROSS/SHIELD

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