Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | |
3750 Chemawa Rd Ne Salem OR 97305-1119 | |
(503) 304-7600 | |
(503) 304-7678 |
Full Name | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit |
---|---|
Speciality | Clinic/Center |
Location | 3750 Chemawa Rd Ne, Salem, Oregon |
Authorized Official Name and Position | Laura J Herbison (ACTING CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5033047659 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit 3750 Chemawa Rd Ne Salem OR 97305-1119 Ph: (503) 304-7600 | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit 3750 Chemawa Rd Ne Salem OR 97305-1119 Ph: (503) 304-7600 |
NPI Number | 1578565347 |
---|---|
Provider Enumeration Date | 08/11/2005 |
Last Update Date | 10/08/2014 |
Medicare PECOS PAC ID | 1759307796 |
---|---|
Medicare Enrollment ID | O20051019000926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578565347 | NPI | - | NPPES |
278159 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Lydia Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407833239 PECOS PAC ID: 9537133137 Enrollment ID: I20040820000183 |
Provider Name | Donald R Asay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306878897 PECOS PAC ID: 0749246999 Enrollment ID: I20041208001115 |
Provider Name | Ahmed H Mohammed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497729032 PECOS PAC ID: 5597709311 Enrollment ID: I20050614000359 |
Provider Name | Ann M Arnett |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336185123 PECOS PAC ID: 3779500756 Enrollment ID: I20051028000560 |
Provider Name | Stephen Miles Rudd |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952303273 PECOS PAC ID: 6507884731 Enrollment ID: I20051107000538 |
Provider Name | Pamela G Witherspoon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144278789 PECOS PAC ID: 3072532415 Enrollment ID: I20051115001026 |
Provider Name | Thomas Weiser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962687707 PECOS PAC ID: 5597838045 Enrollment ID: I20080717000176 |
Provider Name | Joseph P Santiago |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285667188 PECOS PAC ID: 1153466214 Enrollment ID: I20100301000959 |
Provider Name | Michael J Mclaughlin |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1366433948 PECOS PAC ID: 3870811748 Enrollment ID: I20150406002032 |
Provider Name | Philippe Champagne |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053632430 PECOS PAC ID: 8921321415 Enrollment ID: I20151209000162 |
Provider Name | Scottie A Bussell |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1003196429 PECOS PAC ID: 4688968969 Enrollment ID: I20160809002483 |
Provider Name | Ryan C Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316341472 PECOS PAC ID: 9436426418 Enrollment ID: I20170523000249 |
Provider Name | Marc W Levin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235131749 PECOS PAC ID: 1951291293 Enrollment ID: I20171219002534 |
Provider Name | Christian A Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497315824 PECOS PAC ID: 0749518173 Enrollment ID: I20190823000454 |
Provider Name | Andrew J Trego |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053439331 PECOS PAC ID: 6103255443 Enrollment ID: I20200715003310 |
Provider Name | Carolyn Jarnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952344798 PECOS PAC ID: 2264842004 Enrollment ID: I20201105000568 |
Provider Name | Edward G Groenhout |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760487557 PECOS PAC ID: 8426042177 Enrollment ID: I20201119000269 |
Provider Name | Beth R Cloos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811298201 PECOS PAC ID: 4284034703 Enrollment ID: I20210621000657 |
Provider Name | Kristie L. Knows His Gun |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174874812 PECOS PAC ID: 2860890308 Enrollment ID: I20211013002049 |
Provider Name | Naomi E Shantz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316503774 PECOS PAC ID: 3779813340 Enrollment ID: I20211019000196 |
Provider Name | Alexandra M Gloor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952912511 PECOS PAC ID: 1355737677 Enrollment ID: I20220413000321 |
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 | |
Alante Health - Oregon Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 20th St Se Ste 310, Salem, OR 97302 Phone: 480-631-4978 | |
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 |