Providence Medford Medical Center

NPI #1013944776 in Medford, Oregon

Provider Information

NPI Number: 1013944776
Entity Type: Organization
Organization Name: Providence Medford Medical Center
Primary Specialty: Clinic/Center - Emergency Care
Enumeration Date: Jun 27, 2006
Last Updated: May 7, 2025

Practice Location

Address: 1111 CRATER LAKE AVENUE
City: Medford
State: Oregon
ZIP Code: 97504-6214
Phone: (541) 732-5000

Authorized Official

Name: DONALD W ANDERSON JR.
Title: ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Clinic/Center - Emergency Care — Emergency Care	261QE0002X	Primary

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