Qualicenters Salem, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

QUALICENTERS SALEM, LLC

Doing business as

Qualicenters Salem

Practice address

440 Lancaster Dr NE
Salem, OR 97301-4728

Phone

(503) 364-1130

Fax

(503) 364-1096

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUALICENTERS SALEM Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

FMC QCI SalemCCN 382515

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Nov 8, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

33

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  dba Fresenius Medical Care Bristol

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Misha Mohindra, MD

  • Nephrology Physician
  • Salem, OR
  • NPI 1689869513

  Dialysis facility

  Care Compare affiliation Name & address match
• Denis Privalov, MD

  • Nephrology Physician
  • Salem, OR
  • NPI 1649279035

  Dialysis facility

  Care Compare affiliation Name & address match
• Clayton M Smiley, MD

  • Nephrology Physician
  • Portland, OR
  • NPI 1679544431

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1902918709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014728",
            "telephone_number": "503-364-1130",
            "fax_number": "503-364-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014728",
            "telephone_number": "503-364-1130",
            "fax_number": "503-364-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICENTERS SALEM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "38-2515",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "QUALICENTERS SALEM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QUALICENTERS SALEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric J Putz, M.D.
• Chase Pyne
• Brynn Pyper, MA
• Elizabeth Quackenbush, PSYD
• Ross Allen Quackenbush, PSY.D.
• Sage Quandt-Deto
• Patricia H Quaye
• Fabian James Quenelle
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Clinical Laboratories Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.