JD HEALTH AND WELLNESS CENTER NPI 1013363910

NPI Information

NPI: 1013363910
Provider Name: JD HEALTH AND WELLNESS CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
608 LANCASTER DR SE
SALEM, OR
ZIP 97317
Phone: (503) 877-1995
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JD HEALTH AND WELLNESS CENTER is a rehabilitation and substance use disorder clinic center in Salem, OR. JD HEALTH AND WELLNESS CENTER NPI is 1013363910. The provider is registered as an organization entity type.

The provider's business location address is:

608 LANCASTER DR SE
SALEM, OR
ZIP 97317-643
Phone: (503) 877-1995

The provider's authorized official is Eric Davis .
The authorized official title is Clinical Administrator and has the following contact phone number (503) 877-1995.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R171719	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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