CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT (NPI# 1861556920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861556920 |
| Entity Type | Organization |
| Organization Name | CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT |
| Other Organization Name | CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNIT |
| Practice Address |
3750 Chemawa Rd Ne Chemawa Indian Health Center Western Oregon Service Uni Salem OR 97305-1119 |
| Mailing Address |
3750 Chemawa Rd Ne Salem OR 97305-1119 |
| Practice Telephone | 5033047600 |
| Practice Fax Number | 5033047678 |
| Mailing Telephone | 5033047600 |
| Mailing Fax Number | 5033047678 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ADAM THOMAS BIRDINGROUND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5033047642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | AP8985218 | DC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 270030 | 05 |
| Other Name | Type Code |
|---|---|
| Chemawa Indian Health Center Western Oregon Service Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565347 | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | Clinic/Center | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2005-08-11 |
| Street Address |
3750 CHEMAWA RD NE CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNI |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142942 | Michael Paul Kelly | Pharmacist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2005-05-27 |
| 1962051516 | Diana Morrow | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1198 | 2019-09-06 |
| 1205316734 | Jessica Rae Hirsh Angle | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2018-08-15 |
| 1245783133 | Ashley-drake Estes | Counselor | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-07-27 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
| 1073967832 | Connie Lynne Rutledge | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305 | 2016-04-19 |
| 1124491923 | Laura Teresa Hunker | Social Worker | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-11-03 |
| 1396117511 | Western Oregon Service Unit | Clinic/Center | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-10-27 |
| 1912373523 | Tracy Nelson | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-08-18 |
| 1467835462 | Katie Ann Shaw | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376672352 | Warm Springs Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2007-03-05 |
| 1902933443 | Warm Springs Health and Wellness Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2007-02-28 |
| 1285706721 | Yellowhawk Tribal Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 46314 Timine Way, Pendleton, OR 97801-9417 | 2006-11-13 |
Please comment or provide details below to improve the information on CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT.
| 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.