MARION COUNTY HEALTH DEPARTMENT (NPI# 1487881959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487881959 |
| Entity Type | Organization |
| Organization Name | MARION COUNTY HEALTH DEPARTMENT |
| Practice Address |
2435 Greenway Dr Ne Salem OR 97301-4535 |
| Mailing Address |
3180 Center St Ne Salem OR 97301-4532 |
| Practice Telephone | 5035885357 |
| Mailing Telephone | 5035885357 |
| Mailing Fax Number | 5033612789 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | SCOTT RICHARDS (BEHAVIORAL HEALTH DIVSION DIRECTOR) |
| Authorized Official Telephone | 5035885357 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARION COUNTY OREGON POLITICAL SUBDIVISION STATE OF OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 514449 | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 514449 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543297 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 3529 Fisher Rd Ne, Salem, OR 97305 | 2012-06-20 |
| 1811271778 | Marion County Health Department | Public Health or Welfare | 1801 Se 32ndave, Ocala, FL 34471 | 2011-10-10 |
| 1700056694 | Marion County Health Department | Clinic/Center | 747 Horseback Ct Ne, Salem, OR 97301-3195 | 2008-03-06 |
| 1689634685 | Marion County Health Department | Public Health or Welfare | 111a Baker Street, Buena Vista, GA 31803-0404 | 2006-03-24 |
| 1891048864 | Marion County Health Department | Registered Nurse | 1801 Se 32nd Ave, Ocala, FL 34478-5532 | 2012-10-16 |
| 1184976482 | Marion County Health Department | Registered Nurse | 1801 Se 32nd Ave, Ocala, FL 34471-5532 | 2012-10-10 |
| 1356628119 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 2035 Davcor St Se, Salem, OR 97302-1595 | 2011-11-08 |
| 1073758199 | Marion County Health Department | Case Management | 3180 Center St Ne, Salem, OR 97301-4532 | 2008-12-03 |
| 1528219326 | Marion County Health Department | Public Health or Welfare | 3180 Center St Ne, Suite 2360, Salem, OR 97301-4532 | 2008-10-10 |
| 1952578668 | Marion County Health Department | Public Health or Welfare | 118 Cross Creek Blvd, Salem, IL 62881-1920 | 2008-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARION COUNTY HEALTH DEPARTMENT | 3180 Center St Ne Ste 200, Salem, OR 97301-4532 |
| Street Address |
2435 GREENWAY DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669673141 | Jeffrey Donald Dugan | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2007-05-30 |
| 1538776497 | Lawrence Osereme Omonua | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2020-09-25 |
| 1932726429 | Andrew Cameron Elmore | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2020-06-30 |
| 1760015796 | Danny Ronan Sussman | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2020-02-18 |
| 1104487701 | Amy Mccormick | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2019-06-25 |
| 1356733430 | Angelica Gonzalez | Social Worker | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2015-02-25 |
| 1174915466 | Charles Baker | Social Worker | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2015-02-24 |
| 1548659691 | Zachary Mark Standlee | Counselor | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2015-01-13 |
| 1982003919 | Carolyn Wheaton | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2014-08-14 |
| 1194067025 | Kristine Marie Hardy | Case Manager/Care Coordinator | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2013-03-18 |
| Find all providers in the same location | ||||
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417221375 | Carrolls Group Care Home Inc | Community Based Residential Treatment Facility, Mental Illness | 293 14th St Se, Salem, OR 97301-4109 | 2012-02-23 |
| 1255605101 | Carrolls Group Care Home Inc | Community Based Residential Treatment Facility, Mental Illness | 1240 Royvonne Ave Se, Salem, OR 97302-1935 | 2012-02-23 |
| 1568617694 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se, Suite 150, Salem, OR 97302-1100 | 2008-11-17 |
| 1922352376 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se Ste 150, Salem, OR 97302-1335 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
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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.