PROVIDENCE HEALTH & SERVICES OREGON (NPI# 1871786418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871786418 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES OREGON |
| Other Organization Name | PROVIDENCE HOME MEDICAL EQUIPMENT |
| Practice Address |
2508 Pringle Rd Se Salem OR 97302-1532 |
| Mailing Address |
Po Box 5936a Portland OR 97228-5936 |
| Practice Telephone | 5035854027 |
| Practice Fax Number | 5035854741 |
| Mailing Telephone | 5032154663 |
| Mailing Fax Number | 5032154778 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DONALD WAYNE ANDERSON JR. (ASST CORP SECRETARY FOR ENROLLMENTS) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
NPC-0003127 | OR | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 270998 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Home Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425693 | Providence Health & Services Oregon | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd Ste 101, Corvallis, OR 97330-3871 | 2019-03-07 |
| 1841756764 | Providence Health & Services Oregon | Family Medicine | 171 N Larch St Ste 16, Cannon Beach, OR 97110-3103 | 2019-02-15 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1922453943 | Providence Health & Services Oregon | Assisted Living Facility | 1550 Brookside Dr, Hood River, OR 97031-8553 | 2016-04-27 |
| 1649541020 | Providence Health & Services Oregon | Clinic/Center | 211 Ne Skyline Dr, White Salmon, WA 98672 | 2012-01-18 |
| 1922330828 | Providence Health & Services Oregon | Pharmacy | 18040 Sw Lower Boones Ferry Rd Ste 104, Tigard, OR 97224-7259 | 2010-02-03 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1487746491 | Providence Health & Services Oregon | Home Health | 2033 Commerce Dr, Medford, OR 97504-9744 | 2006-09-28 |
| 1831196302 | Providence Health & Services Oregon | Home Health | 570 S Main Street, Mount Angel, OR 97362-9540 | 2005-06-30 |
| 1003319724 | Providence Health & Services Oregon | Clinic/Center | 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 | 2018-03-09 |
| Street Address |
2508 PRINGLE RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938111 | Bio-tek Medical Inc | Durable Medical Equipment & Medical Supplies | 2508 Pringle Rd Se, Salem, OR 97302-1532 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1790268464 | Spinal Med, Inc. | Durable Medical Equipment & Medical Supplies | 4676 Commercial St Se Ste 381, Salem, OR 97302-1902 | 2018-09-10 |
| 1649791708 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 601 S Main St Ste 106, Salem, IN 47167-1057 | 2017-06-29 |
| 1205380474 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-08-05 |
| 1417400052 | Cascade Sleep Supply, LLC. | Durable Medical Equipment & Medical Supplies | 1500 Liberty St Se Ste 170, Salem, OR 97302-4386 | 2016-08-01 |
| 1194150599 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 5 Hampstead Rd, Salem, NH 03079-2404 | 2013-09-05 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1992066724 | Trustcare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 Goodwin Ave, Salem, VA 24153-3227 | 2012-06-07 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1104127240 | Lindberg-turner Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 315 Mission St Se Ste 100, Salem, OR 97302-6231 | 2010-11-05 |
| 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.