NPIMap

Organization Active NPI

Kaiser Sunnyside Medical Center

  • General Acute Care Hospital
  • Salem, OR
National Provider Identifier
1235483199
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KAISER SUNNYSIDE MEDICAL CENTER
Practice address
3480 Mock Orange CT S
Salem, OR 97302-3647
Phone
(503) 314-6227
NPI assigned
Oct 30, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Ms. Mary White, LCSW
Title
Director
Phone
(503) 571-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3480 Mock Orange CT S
Salem, OR 97302-3647

Mailing address

3480 Mock Orange CT S
Salem, OR 97302-3647
Phone (503) 314-6227

Other identifiers 1

IdentifierTypeStateIssuer
104100000XOtherORSOCIAL WORK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1235483199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 MOCK ORANGE CT S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023647",
            "telephone_number": "503-314-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 MOCK ORANGE CT S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023647",
            "telephone_number": "503-314-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER SUNNYSIDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-571-4755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "104100000X",
            "state": "OR"
        }
    ],
    "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 Oct 30, 2012; 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.