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Providence Medford Medical Center

Emergency Care Clinic/Center in Medford, OR · enumerated 2006 · authorized official Donald Anderson, Assistant Secretary Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013944776

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Medford Medical Center
Other name <Unavail>
Practice address 1111 Crater Lake Avenue, Medford, OR, 97504
Fax (541) 732-5131
Enumeration date Jun 27, 2006
Last updated in NPPES May 7, 2025

Taxonomy & classification

261QE0002X Emergency Care Clinic/Center Ambulatory Health Care Facilities Primary
282N00000X General Acute Care Hospital Hospitals · License 140734 (OR) Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollments

Other identifiers

Identifier Type State Issuer
227950 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Providence Medford Medical Center located?
The practice location on file with NPPES is in Medford, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-07.