OrganizationActive
Providence Medford Medical Center
NPI 1013944776 · Emergency Care Clinic/Center · Medford, OR
Provider details
- NPI number
- 1013944776
- Entity type
- Organization
- Primary specialty
- Emergency Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
- License
- 140734 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Crater Lake Avenue
Medford, OR 97504-6214
Phone: (541) 732-5000
Fax: (541) 732-5131
Street-level locationGet directions
Mailing address
P.o. Box 3308
Portland, OR 97208-3308
Other names (DBA / former)
- Doing business as
- Providence Medford Medical Center Lifeline
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.