WILLAMETTE VALLEY HOSPICE INC NPI 1093715070

NPI Information

NPI: 1093715070
Provider Name: WILLAMETTE VALLEY HOSPICE INC

Other Name: WILLAMETTE VALLEY HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
1015 3RD ST NW
SALEM, OR
ZIP 97304
Phone: (503) 588-3600
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WILLAMETTE VALLEY HOSPICE INC is a hospice care community based in Salem, OR. WILLAMETTE VALLEY HOSPICE INC NPI is 1093715070. The provider is registered as an organization entity type.
The provider Other Name Is Willamette Valley Hospice.

The provider's business location address is:

1015 3RD ST NW
SALEM, OR
ZIP 97304-007
Phone: (503) 588-3600
Fax: (503) 363-3891

The provider's authorized official is Terry Lynn Dethrow .
The authorized official title is Finance Manager and has the following contact phone number (503) 779-2308.

The CLIA number assigned to this NPI record is 38D1087295 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 1/9/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		N/A	OREGON	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	8008493	OTHER	OREGON	REGENCE
2	132212	MEDICAID	OREGON
3	112347	OTHER	OREGON	KAISER PERMANENTE

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: 4/28/2024

NPI Synchronization or Removal

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