SALEM CLINIC, PC – NPI #1912175035
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SALEM CLINIC, PC is a provider located in SALEM, OR. NPPES has assigned the NPI number 1912175035 to SALEM CLINIC, PC on February 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 9 years ago on Dec 06, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SALEM CLINIC, PC below.

NPI Profile for
SALEM CLINIC, PC

NPI Number
1912175035
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SALEM CLINIC, PC
Primary location
2531 BOONE ROAD SE
SALEM, OR 97306
Phone: (503) 399-2424 Fax: (503) 375-7429
Mailing address
PO BOX 8100
SALEM, OR 97303-0900
Phone: (503) 399-2424 Fax: (503) 375-7429
Organization Subpart
No
Authorized Official
BARBARA GUNDER
ADMINISTRATIO/CAO
Phone: (503) 399-2424
Updated
Identifiers

Identifiers for SALEM CLINIC, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARE GROUP NOORCS4159
MEDICAIDOR500400274
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.