OREGON DEPT. OF CORRECTIONS (NPI# 1437510922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437510922 |
| Entity Type | Organization |
| Organization Name | OREGON DEPT. OF CORRECTIONS |
| Practice Address |
2757 22nd St Se Salem OR 97302-1553 |
| Practice Telephone | 5033785507 |
| Mailing Telephone | 5033785507 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | DR. STEVEN R. SHELTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5033785530 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 80045964 | OR | Nursing & Custodial Care Facilities |
| Street Address |
2757 22ND ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710359476 | Albert Folsom | Pharmacist | 2757 22nd St Se, Salem, OR 97302-1553 | 2015-10-21 |
| 1619520863 | Central Pharmacy (oregon Department of Corrections) | Pharmacy | 2757 22nd St Se, Salem, OR 97302-1553 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256886 | Brookhouse Home for Aged Women | Custodial Care Facility | 180 Derby St, Salem, MA 01970-5135 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907317 | Laurel Pines Inc | Custodial Care Facility | 3100 Avenue A, White City, OR 97503-1715 | 2020-06-19 |
| 1093170367 | Brigitte Rocha | Custodial Care Facility | 2841 Friendly St, Eugene, OR 97405-2391 | 2015-12-30 |
| 1508170945 | Gentog, LLC | Custodial Care Facility | 11535 Sw Durham Rd, Suite C5, Tigard, OR 97224-3474 | 2010-07-27 |
| 1992897599 | Trinity Home Care LLC | Custodial Care Facility | 940 Sw Central Ave, Grants Pass, OR 97526-2755 | 2006-09-29 |
| 1003949496 | Care Centers Management, Inc. | Custodial Care Facility | 637 Ash St, Myrtle Point, OR 97458-1133 | 2007-03-14 |
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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.