Organization Active NPI

Marion County Health Department

  • Mental Illness Community Based Residential Treatment Facility
  • Salem, OR
National Provider Identifier
1487881959
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
514449 Issued in OR
Legal business name
MARION COUNTY HEALTH DEPARTMENT
Practice address
2435 Greenway Dr NE
Salem, OR 97301-4535
Phone
(503) 588-5357
NPI assigned
Jun 11, 2009
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MARION COUNTY OREGON POLITICAL SUBDIVISION STATE OF OREGONAs reported in NPPES

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
Scott Richards
Title
Behavioral Health Divsion Director
Phone
(503) 588-5357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 514449 OR Primary

Addresses

Primary practice location

2435 Greenway Dr NE
Salem, OR 97301-4535

Mailing address

3160 Center St NE
Salem, OR 97301-4530
Phone (503) 588-5357

Other identifiers 1

IdentifierTypeStateIssuer
514449MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Marion County16 organizations share this tax ID, including this one
Part of
Marion County

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1487881959",
    "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": "503-588-5357",
            "fax_number": "503-361-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 GREENWAY DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014535",
            "telephone_number": "503-588-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION COUNTY OREGON POLITICAL SUBDIVISION STATE OF OREGON",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIVSION DIRECTOR",
        "authorized_official_telephone_number": "503-588-5357"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "514449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514449",
            "state": "OR"
        }
    ],
    "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 20, 2024; 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.