NPIMap

Organization Active NPI

Salem Health Professional Services

  • General Acute Care Hospital
  • Salem, OR
National Provider Identifier
1285774257
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SALEM HEALTH PROFESSIONAL SERVICES
Practice address
665 Winter St SE
Salem, OR 97301-3919
Phone
(503) 561-2490
Fax
(503) 561-2745
NPI assigned
Feb 7, 2007
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SALEM HEALTH HOSPITALS & CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Reid Sund
Title
Controller
Phone
(503) 814-1938

Specialties & licenses 1

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

Addresses

Primary practice location

665 Winter St SE
Salem, OR 97301-3919

Mailing address

PO Box 5969
Portland, OR 97228-5969
Phone (503) 561-2490

Other identifiers 1

IdentifierTypeStateIssuer
213042MedicaidOR

Other names 1

  • Willamette Valley Professional Services Former legal business name

National Provider Directory

National Provider Directory
Part of
Salem Health

Locations

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

875 Oak St SE
Bldg C
Salem, OR 97301
Phone (503) 814-2483

875 Oak St SE
Ste 5030
Salem, OR 97301
Phone (503) 371-4044

939 Oak St SE
Bldg D
Salem, OR 97301

966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1285774257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5969",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285969",
            "telephone_number": "503-561-2490",
            "fax_number": "503-561-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WINTER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013919",
            "telephone_number": "503-561-2490",
            "fax_number": "503-561-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HEALTH PROFESSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM HEALTH HOSPITALS & CLINICS",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SUND",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "503-814-1938"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213042",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Valley Professional Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 10, 2017; 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.