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ONTRACK INC. NPI 1881685097


NPI Information

NPI: 1881685097
Provider Name: ONTRACK, INC.

Doing Business As: ONTRACK ROGUE VALLEY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 38D2235642

Address:
300 W. MAIN STREET
MEDFORD, OR
ZIP 97501
Phone: (541) 772-1777
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ONTRACK, INC. is a community behavioral health in Medford, OR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ONTRACK, INC. NPI is 1881685097. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ontrack Rogue Valley.

The provider's business location address is:

300 W. MAIN STREET
MEDFORD, OR
ZIP 97501
Phone: (541) 772-1777
Fax: (541) 724-2410

The provider's authorized official is Alan Ledford .
The authorized official title is Executive Director and has the following contact phone number (541) 200-2414.

The CLIA number assigned to this NPI record is 38D2235642 - other - a&d inpatient and outpati with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)L1777OREGONNo
2101YA0400XCounselorAddiction (Substance Use Disorder)L3421OREGONNo
3103TC1900XPsychologistCounseling131998OREGONNo
41041C0700XSocial WorkerClinicalL1777OREGONNo
51041C0700XSocial WorkerClinicalL3421OREGONNo
6106H00000XMarriage & Family TherapistT0056OREGONNo
7324500000XSubstance Abuse Rehabilitation Facility193813OREGONNo
83245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children193813OREGONNo
9251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020740000OTHEROREGONBLUE CROSS/SHIELD
2193813MEDICAIDOREGON
3H2152-01OTHEROREGONPACIFICSOURCE
4117388OTHEROREGONMHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.