NPIMap

Organization Active NPI

Oregon Dept. of Corrections

  • Custodial Care Facility
  • Salem, OR
National Provider Identifier
1437510922
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
80045964 Issued in OR
Legal business name
OREGON DEPT. OF CORRECTIONS
Practice address
2757 22ND St SE
Salem, OR 97302-1553
Phone
(503) 378-5507
NPI assigned
Mar 11, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Steven R. Shelton, MDNPI 1184716540
Title
Medical Director
Phone
(503) 378-5530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 80045964 OR Primary

Addresses

Primary practice location

2757 22ND St SE
Salem, OR 97302-1553

Mailing address

2757 22ND St SE
Salem, OR 97302-1553
Phone (503) 378-5507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1437510922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 22ND ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021553",
            "telephone_number": "503-378-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 22ND ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021553",
            "telephone_number": "503-378-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON DEPT. OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-378-5530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "OR",
            "license": "80045964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2016; 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.