WILLAMETTE VALLEY HOSPICE INC (NPI# 1093715070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093715070 |
Entity Type | Organization |
Organization Name | WILLAMETTE VALLEY HOSPICE INC |
Other Organization Name | WILLAMETTE VALLEY HOSPICE |
Practice Address |
1015 3rd St Nw Salem OR 97304-4007 |
Practice Telephone | 5035883600 |
Practice Fax Number | 5033633891 |
Mailing Telephone | 5035883600 |
Mailing Fax Number | 5033633891 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2019-01-09 |
Authorized Official Name | TERRY LYNN DETHROW (FINANCE MANAGER) |
Authorized Official Telephone | 5037792308 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | N/A | OR | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | REGENCE | 8008493 | 01 |
OR | 132212 | 05 | |
OR | KAISER PERMANENTE | 112347 | 01 |
Other Name | Type Code |
---|---|
Willamette Valley Hospice | Other Name - Individual/Organization |
Street Address |
1015 3RD ST NW |
City | SALEM |
State | OR |
Zip Code | 97304-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972086056 | Diana Nicholson-nelson | Social Worker | 1015 3rd St Nw, Salem, OR 97304-4007 | 2018-09-13 |
1740318500 | Sheila Lynn Sund | Psychiatry & Neurology | 1015 3rd St Nw, Salem, OR 97304-4007 | 2007-03-01 |
1841214327 | Nancy S Boutin | Radiology | 1015 3rd St Nw, Salem, OR 97304-4007 | 2006-07-27 |
1801835368 | Deanna K Bower | Internal Medicine | 1015 3rd St Nw, Salem, OR 97304-4007 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174904049 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 6444 Fairway Ave Se, Salem, OR 97306-1443 | 2015-06-16 |
1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
1144795386 | Salem Home Health, LLC | Hospice Care, Community Based | 310 Woodstown Road, 2nd Floor, 2 East, Salem, NJ 08079-2064 | 2018-10-03 |
1578004289 | Prime Healthcare Foundation - Salem Hospital LLC | Hospice Care, Community Based | 310 Salem Woodstown Rd, 2nd Floor, 2 East, Salem, NJ 08079-2064 | 2017-03-14 |
1467620609 | Odyssey Healthcare Operating A Lp | Hospice Care, Community Based | 2925 River Rd S, Suite 100, Salem, OR 97302-3677 | 2008-02-11 |
1649259292 | Salem Home Care Services LLC | Hospice Care, Community Based | 310 Salem Woodstown Rd, 2nd Floor, 2 East, Salem, NJ 08079-2064 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.