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Salem Health West Valley

Organization Active NPI Critical Access Hospital · Dallas, OR

NPI 1245237486 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1245237486
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
141461 (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 2

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

Member of 1

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

Facilities with the same owner 2

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

Practitioners 356

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

View all 356

Affiliated clinicians 393

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

View all 393

Medicare Care Compare: Hospital

Listed as
Salem Health West Valley CCN 381308
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in OR

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
Corporation · Non-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
Corporation · Non-profit
Incorporated
Mar 14, 2002 in OR
Enrollment address
665 Winter St SE
Salem, OR 97301-3934
Hospital Swing-Bed Unit

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 Officer
Exec VP of Ops and Cfo		 Nov 1, 2014
W-2 Managing Employee
Cfo & Chain Home Office Admin		 Nov 1, 2014
W-2 Managing Employee
Exec 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 Employee
Controller		 Jan 9, 2023
Brandon Schmidgall
Individual 		Corporate Officer
Chief Administrative Officer		 Apr 1, 2019
W-2 Managing Employee
Chief 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

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
100112MedicaidOR

Other names

  • West Valley Hospital Former legal business name

Other providers in Dallas, OR

All providers in Dallas, OR · Critical Access Hospital in Oregon

Sources for this page

Verify at the official NPI Registry.