CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE (NPI# 1457592271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457592271 |
| Entity Type | Organization |
| Organization Name | CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE |
| Other Organization Name | GUADALUPE CLINIC |
| Practice Address |
1495 Liberty St Ne Salem OR 97301-6431 |
| Practice Telephone | 5033645818 |
| Practice Fax Number | 5033642484 |
| Mailing Telephone | 5033645818 |
| Mailing Fax Number | 5033642484 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | VICKIE LATTIMER (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 5033645818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Guadalupe Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE | 1495 Liberty Street Ne, Salem, OR 97301 |
| Street Address |
1495 LIBERTY ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427176155 | Laika Rodriguez | Naturopath | 1495 Liberty St Ne, Salem, OR 97301 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069300 | Ideal Option Pllc | Clinic/Center | 863 Liberty St Ne, Salem, OR 97301-2451 | 2019-08-21 |
| 1326589771 | Saint Moscati Community Health Care | Clinic/Center | 4131 Glendale Ave Ne, Salem, OR 97305-1913 | 2017-03-18 |
| 1275983660 | Salem Community Acupuncture Project | Clinic/Center | 2416 13th St Se, Salem, OR 97302-2546 | 2016-06-15 |
| 1619341633 | Hkd Treatment Options | Clinic/Center | 84 Highland Ave., Suite 305, Salem, MA 01970 | 2015-11-16 |
| 1770967325 | Dancing Crane Center of Chinese Medicine | Clinic/Center | 11 Library Sq, Salem, VA 24153-3846 | 2015-07-14 |
| 1831504968 | Wvp Medical Group, LLC | Clinic/Center | 2485 12th St. Se, Salem, OR 97302-0000 | 2014-06-27 |
| 1013210095 | Salem Occupational and Acute Care | Clinic/Center | 13 Red Roof Ln Ste 2, Salem, NH 03079-2983 | 2010-12-13 |
| 1336456516 | Salem Free Medical Clinic | Clinic/Center | 1300 Broadway St Ne Suite #104, Salem, OR 97301 | 2010-09-09 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1659524403 | Doctor's Diagnositcs, LLC | Clinic/Center | 322 Highway 62 W, Suite 2, Salem, AR 72576-9566 | 2008-10-24 |
| Find all providers in SALEM | ||||
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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.