NPIMap

Organization Active NPI

Marion County

  • State or Local Public Health Clinic/Center
  • Salem, OR
National Provider Identifier
1124186531
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MARION COUNTY
Practice address
3160 Center St NE
Salem, OR 97301-4530
Phone
(503) 588-5358
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
MARION COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Stacie Neal
Title
Management Analyst
Phone
(503) 576-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

3160 Center St NE
Salem, OR 97301-4530

Mailing address

3160 Center St NE
Salem, OR 97301-4530

Other identifiers 1

IdentifierTypeStateIssuer
002803MedicaidOR

Other names 1

  • Marion County Health and Human Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000964 OR Part B Supplier - Clinic/Group Practice 8123928017 Receives reassigned benefits from 32 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, OR

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Marion County Health Department16 organizations share this tax ID, including this one
Part of
Marion County Health Department

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1124186531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014530",
            "telephone_number": "503-588-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION COUNTY",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "MANAGEMENT ANALYST",
        "authorized_official_telephone_number": "503-576-4589"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002803",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion County Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.