NORTHWEST HUMAN SERVICES, INC. (NPI# 1447332994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447332994 |
| Entity Type | Organization |
| Organization Name | NORTHWEST HUMAN SERVICES, INC. |
| Other Organization Name | TOTAL HEALTH COMMUNITY CLINIC |
| Practice Address |
180 Atwater St N Monmouth OR 97361-1801 |
| Mailing Address |
681 Center St Ne Salem OR 97301-3722 |
| Practice Telephone | 5036063288 |
| Practice Fax Number | 5036063287 |
| Mailing Telephone | 5035885828 |
| Mailing Fax Number | 5035885852 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-10-21 |
| Authorized Official Name | MR. PAUL LOGAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5035885831 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Total Health Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194082867 | Northwest Human Services, Inc. | Clinic/Center | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2012-04-18 |
| 1790865798 | Northwest Human Services, Inc. | Clinic/Center | 694 Church St Ne, Salem, OR 97301-2401 | 2006-10-16 |
| 1871530758 | Northwest Human Services, Inc. | Clinic/Center | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST HUMAN SERVICES, INC. | 681 Center St Ne, Salem, OR 97301 |
| Street Address |
180 ATWATER ST N |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354692 | Sylvia E Cervantes Garcia | Community Health Worker | 180 Atwater St N, Monmouth, OR 97361-1801 | 2020-07-23 |
| 1821396268 | Laboratory Corporation of America | Clinical Medical Laboratory | 180 Atwater St N, Monmouth, OR 97361-1801 | 2011-03-09 |
| 1285963157 | Andrea M Wagner | Nurse Practitioner | 180 Atwater St N, Monmouth, OR 97361-1801 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| Find all providers in zip 97361 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528377454 | Dfd Russell Medical Center Inc | Clinic/Center | 11 Academy Rd, Monmouth, ME 04259-7035 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWEST HUMAN SERVICES, INC..
| 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.