ROANOKE CO/SALEM DENTAL CLINIC (NPI# 1871680082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871680082 |
| Entity Type | Organization |
| Organization Name | ROANOKE CO/SALEM DENTAL CLINIC |
| Practice Address |
105 E. Calhoun Street Salem VA 24153 |
| Mailing Address |
105 E. Calhoun Street Po Box 1144 Salem VA 24153 |
| Practice Telephone | 5403875530 |
| Practice Fax Number | 5403875524 |
| Mailing Telephone | 5403875530 |
| Mailing Fax Number | 5403875524 |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN H HOEL (BUSINESS MANAGER A) |
| Authorized Official Telephone | 5408577800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8450030 | 05 |
| Street Address |
105 E. CALHOUN STREET |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215398268 | Global Interpreters Usa | Public Health or Welfare | 2720 Summer St Se, Salem, OR 97302-3140 | 2016-03-17 |
| 1629342696 | Salem County Dept. of Health and Human Services | Public Health or Welfare | 110 5th Street, Suite 500, Salem, NJ 08079-1912 | 2012-03-08 |
| 1215228101 | Washington County | Public Health or Welfare | 806 Martinsburg Rd, Suite 100, Salem, IN 47167-5906 | 2011-04-26 |
| 1598932733 | Dent County Health Center | Public Health or Welfare | 601 S Mcarthur St, Salem, MO 65560-2132 | 2008-05-15 |
| 1740231067 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 105 E Calhoun St, Salem, VA 24153-3838 | 2006-05-12 |
| 1124022785 | County of Marion | Public Health or Welfare | 118 Cross Creek Blvd, Salem, IL 62881-1920 | 2005-06-10 |
| 1215462700 | Brittany Rutherford | Public Health or Welfare | 1118 Oak St Se, Salem, OR 97301-4019 | 2017-04-22 |
| 1891026811 | Marion County Health Dept | Public Health or Welfare | 3180 Center St Ne, Salem, OR 97301-4532 | 2010-01-15 |
| 1528219326 | Marion County Health Department | Public Health or Welfare | 3180 Center St Ne, Suite 2360, Salem, OR 97301-4532 | 2008-10-10 |
| 1043487747 | County of Marion | Public Health or Welfare | 118 Cross Creek Blvd, Salem, IL 62881-1920 | 2008-05-12 |
| 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.