DRIFTWOOD LODGE
NPI 1609963842
Psychiatric Residential Treatment Facility in Gold Beach, OR
NPI Status: Active since October 09, 2006
Contact Information
29413 RUSSELL ST
GOLD BEACH, OR
ZIP 97444
Phone: (541) 247-6566
Fax: (541) 247-6549
- Organization
- Psychiatric Residential Treatment Facili...
About DRIFTWOOD LODGE
This page provides the complete NPI Profile along with additional information for Driftwood Lodge, a provider established in Gold Beach, Oregon operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1609963842 assigned on October 2006. The practitioner's primary taxonomy code is 323P00000X with license number 717 (OR). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Driftwood Lodge. The authorized official of this NPI record is Mr. Robert C Beckett (Executive Director)
- NPI
- 1609963842
- Provider Legal Name
- COLUMBIACARE SERVICES
- Other Organization Name
- DRIFTWOOD LODGE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 29413 RUSSELL ST GOLD BEACH, OR 97444
- Location Phone
- (541) 247-6566
- Location Fax
- (541) 247-6549
- Mailing Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Mailing Phone
- (541) 858-8170
- Mailing Fax
- (541) 247-6549
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2006
- Last Update Date
- 05-19-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- License No.
- 717
- License State
- OR
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 717 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 276114 | MEDICAID (05) | OR | |
| 513857 | OTHER (01) | OR | DW SERVICE PMT |
Reviews for DRIFTWOOD LODGE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 6 | 3 | 8 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 6 | 6 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 6 + 6 + 8 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1609963842 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669831137 | ALMA BRANNON Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1578922043 | BRIANA HERITAGE Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1104285675 | LOIS SHIPLEY Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1518327881 | PAULA STEWART Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1780038364 | ERICA FREEMAN Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1326326745 | RAJEAN LAKSON Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1487013959 | WILLIAM MARSHALL Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1295194769 | KATHLEEN PRESTON Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1255790663 | MARSHALL PATTERSON Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1083158315 | ASHLEY HAWKINS Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1841717196 | TAMERA SOMERS Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1033668454 | ERIC TENGREN Individual | Case Manager/Care Coordinator | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1215452016 | CHRISTEN JAMSA Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1134575590 | KELSEY TAYLOR Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1609351196 | CHASTITY S KOLMORGAN Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1437628559 | EVELYN N KEITEL Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1376007013 | AHMAD R EL MASRI Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1578706040 | STEPHANIE K RYDER Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1174668875 | JEANETTE BLACK Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
| 1699247403 | VIRIDIANA PENALOZA Individual | Counselor (Mental Health) | 29413 RUSSELL ST GOLD BEACH, OR 97444 (541) 247-6566 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609963842, enumerated in the NPI registry as an "organization" on October 09, 2006
The provider is located at 29413 Russell St Gold Beach, Or 97444 and the phone number is (541) 247-6566
This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.