NPIMap

Organization Active NPI

Salem Health

  • Radiology Clinic/Center
  • Woodburn, OR
National Provider Identifier
1952952079
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SALEM HEALTH
Practice address
105 Arney Rd
Woodburn, OR 97071-9471
Phone
(503) 814-1938
NPI assigned
Sep 20, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Reid Sund
Title
Director of Finance
Phone
(503) 814-1938

National Provider Directory

National Provider Directory
Tax ID family
Salem Memorial Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

105 Arney Rd
Woodburn, OR 97071
Phone (503) 814-1938

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

105 Arney Rd
Woodburn, OR 97071-9471

Mailing address

890 Oak St SE
Salem, OR 97301-3905

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
500763910MedicaidOR

Other names 1

NPPES NPI Registry
  • Ssalem Hospital Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2019.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1952952079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 OAK ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNEY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719471",
            "telephone_number": "503-814-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "SUND",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "503-814-1938"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500763910",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ssalem Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.