NPIMap

Organization Active NPI

Salem Travel Clinic, LLC

Doing business as Salem Travel Clinic

  • Health Service Clinic/Center
  • Salem, OR
National Provider Identifier
1639503253
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MD12930 Issued in OR
Legal business name
SALEM TRAVEL CLINIC, LLC
Doing business as
Salem Travel Clinic
Practice address
2720 Commercial St SE
Suite 201
Salem, OR 97302-4495
Phone
(503) 540-9999
Fax
(503) 540-3105
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
John C Girod, M.D.NPI 1568546794
Title
Owner-Member
Phone
(503) 540-9999

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
Health Service Clinic/Center 261QH0100X MD12930 OR Primary

Addresses

Primary practice location

2720 Commercial St SE
Suite 201
Salem, OR 97302-4495

Mailing address

2720 Commercial St SE
Suite 201
Salem, OR 97302-4495
Phone (503) 540-9999

Other names 1

  • Salem Travel Clinic Doing business as

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": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1639503253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 COMMERCIAL ST SE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024495",
            "telephone_number": "503-540-9999",
            "fax_number": "503-540-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 COMMERCIAL ST SE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024495",
            "telephone_number": "503-540-9999",
            "fax_number": "503-540-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM TRAVEL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GIROD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "503-540-9999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD12930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Travel Clinic",
            "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 Aug 30, 2013; 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.