| Alante Health - Oregon Llc | |
|
1220 20th St Se Ste 310 Salem OR 97302-1205 | |
| (480) 631-4978 | |
| Not Available |
| Full Name | Alante Health - Oregon Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 20th St Se Ste 310, Salem, Oregon |
| Authorized Official Name and Position | Jacob Schaefer (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5032018356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alante Health - Oregon Llc 1220 20th St Se Ste 310 Salem OR 97302-1205 Ph: () - | Alante Health - Oregon Llc 1220 20th St Se Ste 310 Salem OR 97302-1205 Ph: (480) 631-4978 |
| NPI Number | 1023704707 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 3577920529 |
|---|---|
| Medicare Enrollment ID | O20230606002583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023704707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134467368 PECOS PAC ID: 5092953091 Enrollment ID: I20140609002507 |
| Provider Name | Sheng Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609582287 PECOS PAC ID: 8628437126 Enrollment ID: I20230630001527 |
Life Balance Acupuncture Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Liberty St Ne, Salem, OR 97301 Phone: 503-881-8996 | |
West Salem Family Practice Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1275 Wallace Rd Nw, Salem, OR 97304 Phone: 503-371-3232 Fax: 503-375-2398 | |
Salem Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554 | |
New Focus Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5560 Witzel Rd Se, Salem, OR 97317 Phone: 503-581-8251 Fax: 503-363-8543 | |
Santiam Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Deer Park Dr Se, Salem, OR 97317 Phone: 503-589-8101 | |
Phoenix Rising Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Commercial St Se, Salem, OR 97302 Phone: 971-227-1073 |