FRS Facility Detail Report


PROVIDENCE MEDFORD MEDICAL CENTER

EPA Registry Id: 110004784975
1111 CRATER LAKE AVENUE
MEDFORD, OR 97504-6241


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
PROVIDENCE MEDFORD MEDICAL CENTER ORD063207732 VSQG (Y) RCRAINFO

EMISSION INVENTORY SYSTEM (EIS)
PROVIDENCE HOSPITAL 11536411 AIR MINOR EIS 06/05/2024
OREGON - DEPARTMENT OF ENVIRONMENTAL QUALITY PROVIDENCE HOSPITAL 3688
exit EPA
STATE MASTER OR-DEQ
OR-ACSIS-150075
AIR PROGRAM
UST-1966-BCJGE
LEAKING STORAGE TANK
UST-1966-BCJGD
LEAKING STORAGE TANK
OR-HWMS-4025
CESQG
OR-LUST-15-94-0021
LEAKING STORAGE TANK
HAZWASTE-4025
CESQG
OR-LUST-15-92-0085
LEAKING STORAGE TANK
LUST-15-00-0043
LEAKING STORAGE TANK
OR-UST-BCJGD
LEAKING STORAGE TANK
OR-UST-BCJGE
LEAKING STORAGE TANK
ACSIS-150075-
AIR PROGRAM
LUST-15-94-0021
LEAKING STORAGE TANK
LUST-15-92-0085
LEAKING STORAGE TANK
BIENNIAL REPORTERS
PROVIDENCE MEDFORD MEDICAL CENTER ORD063207732 HAZARDOUS WASTE BIENNIAL REPORTER RCRAINFO 12/31/2013

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
OR-DEQ
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

Facility Codes and Flags

EPA Region: 10
Duns Number:
Congressional District Number: 02
Legislative District Number: OR
HUC Code/Watershed: 17100308 / MIDDLE ROGUE
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land: NO

Alternative Names

Alternative Name Source of Data
PROVIDENCE HOSPITAL OR-DEQ

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
FACILITY SITE CONTACT
PROVIDENCE HOSPITAL
OR-DEQ
View
OWNER
PROVIDENCE HEALTH AND SERVICES
RCRAINFO


MAILING ADDRESS
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
FACILITY SITE CONTACT
SISTERS OF PROVIDENCE IN OREGON PROVIDEN
OR-DEQ
View
OPERATOR
PROVIDENCE MEDFORD MEDICAL CENTER
RCRAINFO
View
RESPONSIBLE PARTY
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
OWNER
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ


RESPONSIBLE PARTY
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
RESPONSIBLE PARTY
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ


OPERATOR
SISTERS OF PROVIDENCE
OR-DEQ
View
FACILITY SITE CONTACT
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
FACILITY SITE CONTACT
PROVIDENCE HOSPITAL
OR-DEQ
View
MAILING ADDRESS
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
MAILING ADDRESS
SISTERS OF PROVIDENCE IN OREGON
OR-DEQ


PERMITEE
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ


OWNER
PROVIDENCE HEALTH SYSTEM
OR-DEQ
View
FACILITY SITE CONTACT
SISTERS OF PROVIDENCE IN OREGON PROVIDEN
OR-DEQ
View
REGULATORY CONTACT
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
OR-DEQ 056292

RCRAINFO 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
EIS 488119 OTHER AIRPORT OPERATIONS.
OR-DEQ 562211 HAZARDOUS WASTE TREATMENT AND DISPOSAL.
OR-DEQ 062211

OR-DEQ 022133

OR-DEQ 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
OR-DEQ 562213 SOLID WASTE COMBUSTORS AND INCINERATORS.
OR-DEQ 562212 SOLID WASTE LANDFILL.
OR-DEQ 562219 OTHER NONHAZARDOUS WASTE TREATMENT AND DISPOSAL.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
MAILING ADDRESS 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 OR-DEQ
REGULATORY CONTACT 1111 CRATER LAKE AVE MEDFORD OR 97504 OR-DEQ
OWNER PO BOX C11038 SEATTLE WA 98111 OR-DEQ
FACILITY MAILING ADDRESS 1111 CRATER LAKE AVE MEDFORD OR 97504 OR-DEQ
FACILITY SITE CONTACT 1111 CRATER LAKE AVE MEDFORD OR 97504 OR-DEQ
FACILITY SITE CONTACT 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 OR-DEQ
OPERATOR 1111 CRATER LAKE AVE MEDFORD OR 97504 RCRAINFO
FACILITY MAILING ADDRESS 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 OR-DEQ
REGULATORY CONTACT 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 OR-DEQ
MAILING ADDRESS 1111 CRATER LAKE AVE MEDFORD OR 97504 OR-DEQ
FACILITY MAILING ADDRESS 1111 CRATER LAKE AVE MEDFORD OR 97504 RCRAINFO
OPERATOR 1235 NE 47TH AVE PORTLAND OR 97213 OR-DEQ
RESPONSIBLE PARTY 1111 CRATER LAKE AVE MEDFORD OR 97504 OR-DEQ
REGULATORY CONTACT 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 RCRAINFO
RESPONSIBLE PARTY 1111 CRATER LAKE AVENUE MEDFORD OR 97504-6241 OR-DEQ

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
FACILITY SITE CONTACT
GARY WIESNER
(541) 732-5800
OR-DEQ
View
MAILING ADDRESS
GARY WIESNER
(541) 776-5081
OR-DEQ
View
FACILITY SITE CONTACT
RON PONTO
(541) 773-6611
OR-DEQ
View
REGULATORY CONTACT
GARY WIESNER
(541) 732-5800
OR-DEQ
View
FACILITY SITE CONTACT
GARY WIESNER
(541) 732-5800
OR-DEQ
View
REGULATORY CONTACT
GARY WIESNER
(541) 732-5800
OR-DEQ
View
FACILITY SITE CONTACT
RON PONTO
(541) 773-6611
OR-DEQ
View
RESPONSIBLE PARTY
ELAINE HANLEY
(541) 732-5490
OR-DEQ
View
MAILING ADDRESS
GARY WIESNER
(541) 776-5081
OR-DEQ
View
RESPONSIBLE PARTY
ELAINE HANLEY
(541) 732-5490
OR-DEQ
View

Query executed on: OCT-15-2025