NPIMap

Organization Active NPI

Marion County

Doing business as Marion County Health and Human Services

  • Methadone Clinic
  • Salem, OR
National Provider Identifier
1386706919
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
MARION COUNTY
Doing business as
Marion County Health and Human Services
Practice address
2045 Silverton Rd NE Ste a
Salem, OR 97301-0100
Phone
(503) 588-5352
NPI assigned
Dec 13, 2006
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Trucmai Cao
Title
Billing Supervisor
Phone
(503) 361-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2045 Silverton Rd NE Ste a
Salem, OR 97301-0100

Mailing address

3160 Center St NE
Salem, OR 97301-4530
Phone (503) 588-5358

Other names 1

  • Marion County Health and Human Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401001597 OR Part B Supplier - Opioid Treatment Program (Otp) 8123928017 Practice locations: Salem, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Marion County

    dba Marion County Health Department

    • Adult Mental Health Clinic/Center
    • Salem, OR
    • NPI 1528147782

    8123928017

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Marion County Mental HL16 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

2045 Silverton Rd NE
Ste A
Salem, OR 97301
Phone (503) 576-4660

3180 Center St NE
Ste 2100
Salem, OR 97301
Phone (503) 585-4949

Practitioners & affiliated clinicians

Practitioners 89

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 89

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1386706919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014530",
            "telephone_number": "503-588-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "TRUCMAI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "503-361-2648"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion County Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.