Organization Active NPI

River Valley Rheumatology & Infusions, Inc

  • Rheumatology Physician
  • Salem, OR
National Provider Identifier
1063823508
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RIVER VALLEY RHEUMATOLOGY & INFUSIONS, INC
Practice address
960 Liberty St SE
#200
Salem, OR 97302-4171
Phone
(503) 399-0652
Fax
(503) 373-3852
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rebecca R Callis, MD
Title
Owner/Physician
Phone
(503) 399-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

960 Liberty St SE
#200
Salem, OR 97302-4171

Mailing address

960 Liberty St SE
#200
Salem, OR 97302-4171
Phone (503) 399-0652

National Provider Directory

National Provider Directory

Locations

1144 Gateway Loop
Ste 110
Springfield, OR 97477
Phone (541) 484-0195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1063823508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE",
            "address_2": "#200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024171",
            "telephone_number": "503-399-0652",
            "fax_number": "503-373-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE",
            "address_2": "#200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024171",
            "telephone_number": "503-399-0652",
            "fax_number": "503-373-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY RHEUMATOLOGY & INFUSIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-399-0652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.