NPIMap

Organization Active NPI

Childhood Health Associates of Salem

  • Pediatrics Physician
  • Salem, OR
National Provider Identifier
1467677864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDHOOD HEALTH ASSOCIATES OF SALEM
Practice address
891 23Rd St NE
Salem, OR 97301
Phone
(503) 364-0227
Fax
(503) 364-0364
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bev C Britt
Title
Bookkeeping Supervisor
Phone
(503) 364-0227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

891 23Rd St NE
Salem, OR 97301

Mailing address

891 23Rd St NE
Salem, OR 97301
Phone (503) 364-0227

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
38D0715589Childhood Health Assoc of Salem891 23Rd St NE, Salem, OR 97301Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

891 23rd St NE
Salem, OR 97301
Phone (503) 364-2181

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467677864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-0227",
            "fax_number": "503-364-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-0227",
            "fax_number": "503-364-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDHOOD HEALTH ASSOCIATES OF SALEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "BEV",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BOOKKEEPING SUPERVISOR",
        "authorized_official_telephone_number": "503-364-0227"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.