NPIMap

Organization Active NPI

Saint Moscati Community Health Care

  • Primary Care Clinic/Center
  • Salem, OR
National Provider Identifier
1326589771
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAINT MOSCATI COMMUNITY HEALTH CARE
Doing business as
Saint moscati Community Health Care
Practice address
1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone
(971) 273-0679
Fax
(503) 961-0794
NPI assigned
Mar 18, 2017
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Clara Castillo
Title
Administrative Assistant
Phone
(971) 273-0679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 201600993NP-PP OR
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040

Mailing address

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone (971) 273-0679

Other identifiers 1

IdentifierTypeStateIssuer
500746269MedicaidOR

Other names 2

  • Saint moscati Community Health Care Doing business as
  • Juan L. Castillo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430001138 OR Part B Supplier - Clinic/Group Practice 8426312497 Receives reassigned benefits from 6 practitioners
Practice locations: Salem, OR

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
38D2142495Saint Moscati Community Health Care1880 Lancaster Drive NE Suite 108, Salem, OR 97305Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

1880 Lancaster Dr NE
Ste 104
Salem, OR 97305
Phone (503) 587-9949

1880 Lancaster Dr NE
Ste 108
Salem, OR 97305
Phone (971) 273-0679

1880 Lancaster Dr NE
Ste 119
Salem, OR 97305
Phone (503) 398-8183

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17738/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1326589771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MOSCATI COMMUNITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "971-273-0679"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "201600993NP-PP",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500746269",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint moscati Community Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Juan L. Castillo",
            "code": "5",
            "type": "Other 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 Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.