Active NPI
Healthstat on-Site Clinic/Saif
- Preventive Medicine/Occupational Environmental Medicine Physician
- Salem, OR
National Provider Identifier
1164763355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- Legal business name
- HEALTHSTAT ON-SITE CLINIC/SAIF
- Practice address
- 440 Church St SE
Salem, OR 97312-1001 - Phone
- (503) 373-8086
- NPI assigned
- Mar 13, 2013
- Last updated
- Apr 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Warren Hutton
- Title
- Coo
- Phone
- (704) 529-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | NU | Primary |
Addresses
Primary practice location
440 Church St SE
Salem, OR 97312-1001
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
National Provider Directory
National Provider Directory- Tax ID family
- Healthstat Onsite Clinic Parkdale Plant 16
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Portland, OR
- NPI 1881025823
Locations
440 Church St SE
Salem, OR 97312
Phone (503) 373-8086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366675200000",
"number": "1164763355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 CHARLOTTE PARK DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 CHURCH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973121001",
"telephone_number": "503-373-8086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSTAT ON-SITE CLINIC/SAIF",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2013-04-23",
"status": "A",
"authorized_official_last_name": "HUTTON",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "704-529-6161"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
- Healing Sol Counseling Collective LLC
- Healing Touch Chiropractic Clinic Inc
- Healing Well Naturopathic, LLC (Salem Natural Medicine)
- Healogics Specialty Physicians of Oregon, LLC
- Healthpass LLC
- Healthy Connections Counseling, LLC
- Healthy Smiles Family Dental LLC
- Mark D Healy, OTRL CHT
- Gary Henry Heard, BA, CADC II
- Jennifer A Hearn, PSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.