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SALEM EMERGENCY PHYSICIANS SERVICE PC NPI 1063454395


NPI Information

NPI: 1063454395
Provider Name: SALEM EMERGENCY PHYSICIANS SERVICE, PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
890 OAK STREET
SE BUILDING 'A'
SALEM, OR
ZIP 97301
Phone: (503) 561-5634
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SALEM EMERGENCY PHYSICIANS SERVICE, PC is an emergency medicine in Salem, OR. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. SALEM EMERGENCY PHYSICIANS SERVICE, PC NPI is 1063454395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

890 OAK STREET
SE BUILDING 'A'
SALEM, OR
ZIP 97301-905
Phone: (503) 561-5634
Fax: (503) 814-1071

The provider's authorized official is Robert Kelly .
The authorized official title is Md and has the following contact phone number (503) 561-5634.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/5/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18902424OTHERWASHINGTON CRIME VICTIMS
2CR0251OTHERRAILROAD MEDICARE
37028699MEDICAIDWASHINGTON
4015388000OTHERBLUE CROSS & BLUE SHIELD
5042080OTHERWASHINGTON L&I
6115808MEDICAIDOREGON
7168143MEDICAIDOREGON
868701001OTHERGROUP HEALTH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.