Provider Type Icon

CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT NPI 1578565347


NPI Information

NPI: 1578565347
Provider Name: CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 38D0669934

Address:
3750 CHEMAWA RD NE
SALEM, OR
ZIP 97305
Phone: (503) 304-7600
Get Directions

CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT is a multi-specialty clinic center in Salem, OR. CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT NPI is 1578565347. The provider is registered as an organization entity type.

The provider's business location address is:

3750 CHEMAWA RD NE
SALEM, OR
ZIP 97305-119
Phone: (503) 304-7600
Fax: (503) 304-7678

The provider's authorized official is Laura J Herbison .
The authorized official title is Acting Chief Executive Officer and has the following contact phone number (503) 304-7659.

The CLIA number assigned to this NPI record is 38D0669934 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 10/8/2014.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1HSZ203MEDICARE UPINOREGON
2278159MEDICAIDOREGON

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

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.