NPIMap

Organization Active NPI

Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
National Provider Identifier
1245237486
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
141461 Issued in OR
Legal business name
SALEM HEALTH WEST VALLEY
Practice address
525 SE Washington St
Dallas, OR 97338-2834
Phone
(503) 623-8301
NPI assigned
Jul 1, 2005
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Mr. James Parr
Title
Exec VP and Cfo
Phone
(503) 814-2841

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 141461 OR
Critical Access Hospital 282NC0060X 141461 OR Primary

Addresses

Primary practice location

525 SE Washington St
Dallas, OR 97338-2834

Mailing address

PO Box 94269
Seattle, WA 98124-6569
Phone (503) 623-8301

Other names 1

  • West Valley Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20021230000037 OR Part A Provider - Critical Access Hospital 7810804630 Receives reassigned benefits from 164 practitioners
Practice locations: Dallas, OR
O20040225000830 OR Part B Supplier - Clinic/Group Practice 7810804630 Receives reassigned benefits from 282 practitioners
Practice locations: Independence, OR; Monmouth, OR; Dallas, OR
O20070430000416 OR Part A Provider - Critical Access Hospital 7810804630 Practice locations: Dallas, OR; Salem, OR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1245237486. Details of each certification follow.

Hospital certification: CCN 381308

Legal name
SALEM HEALTH WEST VALLEY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 27, 2001
Last certification
Jun 29, 2022
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2002 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 14, 2002 in OR
Enrollment address
525 SE Washington St
Dallas, OR 97338-2834
Main/Primary Hospital Location

Hospital certification: CCN 38Z308

Legal name
SALEM HEALTH WEST VALLEY
Organization structure
CorporationNon-profit
Incorporated
Mar 14, 2002 in OR
Enrollment address
665 Winter St SE
Salem, OR 97301-3934
Hospital Swing-Bed Unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Salem Health West ValleyCCN 381308 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0626127Salem Health West Valley525 Washington St, Dallas, OR 97338AccreditationDec 31, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

550 SE Clay St
Dallas, OR 97338
Phone (503) 623-7302

555 SE Washington St
Dallas, OR 97338
Phone (503) 623-7301

591 SE Clay St
Dallas, OR 97338
Phone (503) 370-8784

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine L. Keene Individual Corporate Director Dec 30, 2002
Corporate Director Aug 8, 2006
Theresa Haskins Individual Corporate Director Oct 1, 2005
Corporate Director Aug 8, 2006
Jennifer Marie Columbus Individual Corporate Director Jan 1, 2020
Alan K Wynn Individual Corporate Director Oct 1, 2005
Corporate Director Aug 8, 2006
Camille Ann Mercier Individual Corporate Director May 8, 2025
Phillip Dwight Jackson Individual Corporate Director Jan 1, 2018
John Combes Individual Corporate Director Jan 1, 2016
Ricardo Patricio Linares Individual Corporate Director Jan 1, 2017
Robert B Kelly Individual Corporate Director Oct 1, 2014
James Parr Individual Corporate OfficerExec VP of Ops and Cfo Nov 1, 2014
W-2 Managing EmployeeCfo & Chain Home Office Admin Nov 1, 2014
W-2 Managing EmployeeExec VP of Ops and Cfo Nov 1, 2014
Lane Shetterly Individual Corporate Director Dec 30, 2002
Corporate Director Oct 1, 2009
Mark Zook Individual Corporate Director Jan 1, 2020
Salem Health Hospitals and Clinics Organization, Salem, OR 5% Or Greater Direct Ownership Interest Dec 4, 2007 100%
Operational/Managerial Control Dec 4, 2007
Angelica Vega Individual Corporate Director Jan 1, 2022
Carla Tenneil Reilly Individual W-2 Managing EmployeeController Jan 9, 2023
Brandon Schmidgall Individual Corporate OfficerChief Administrative Officer Apr 1, 2019
W-2 Managing EmployeeChief Administrative Officer Apr 1, 2019
Kenneth Sherman Individual Corporate Director Aug 8, 2006
Reid Sund Individual W-2 Managing Employee Nov 30, 2015
David C Harrison Individual Corporate Director Jan 1, 2018
Annette Campista Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 356

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 356

Affiliated clinicians 393

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 393

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1245237486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94269",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246569",
            "telephone_number": "503-623-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SE WASHINGTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382834",
            "telephone_number": "503-623-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HEALTH WEST VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXEC VP AND CFO",
        "authorized_official_telephone_number": "503-814-2841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "141461",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "141461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "West Valley Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, OR

Sources for this page

Verify at the official NPI Registry.