NPIMap

Organization Active NPI

Catholic Community Services of the Mid Willamette Valley Central Coast

  • Case Management Agency
  • Salem, OR
National Provider Identifier
1548461668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CATHOLIC COMMUNITY SERVICES OF THE MID WILLAMETTE VALLEY CENTRAL COAST
Practice address
3737 Portland Rd NE
Salem, OR 97303-2511
Phone
(503) 856-7061
Fax
(503) 463-6280
NPI assigned
May 29, 2007
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
Ms. Lori Jean Cox, BS, QMHA
Title
Associate Program Director
Phone
(503) 856-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3737 Portland Rd NE
Salem, OR 97303-2511

Mailing address

PO Box 20400
Keizer, OR 97307-0400
Phone (503) 856-7061

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services of the Mid-Willamette Valley and Central5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548461668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20400",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973070400",
            "telephone_number": "503-856-7061",
            "fax_number": "503-463-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973032511",
            "telephone_number": "503-856-7061",
            "fax_number": "503-463-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF THE MID WILLAMETTE VALLEY CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ASSOCIATE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "503-856-7061",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, QMHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.