MARION POLK COMMUNITY HEALTH PLAN, LLC. (NPI# 1063658425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063658425 |
| Entity Type | Organization |
| Organization Name | MARION POLK COMMUNITY HEALTH PLAN, LLC. |
| Other Organization Name | MPCHP OHP |
| Practice Address |
245 Commercial St Se Ste 220 Salem OR 97301-3466 |
| Practice Telephone | 5033717701 |
| Practice Fax Number | 5034853224 |
| Mailing Telephone | 5033717701 |
| Mailing Fax Number | 5034853224 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | MR. DEAN ANDRETTA (CFO) |
| Authorized Official Telephone | 5035875107 |
| Is Organization Subpart | Y |
| Parent Organization Name | MID VALLEY IPA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| MPCHP OHP | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MARION POLK COMMUNITY HEALTH PLAN, LLC | 2995 Ryan Dr Se Ste 200, Salem, OR 97301 |
| Street Address |
245 COMMERCIAL ST SE STE 220 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316183783 | Mid Valley Employees Benefit Trust | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| 1508002973 | Marion Polk Community Health Plan Advantage, Inc. | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061859 | Logan Calahan | Health Maintenance Organization | 5028 Cumberland Ct Se, Salem, OR 97306-2011 | 2016-09-21 |
| 1306394796 | Rejuven8 Massage and Float Therapy, LLC | Health Maintenance Organization | 249 Liberty St Ne # B60, Salem, OR 97301-3503 | 2016-09-14 |
| 1467835520 | En8 Pain Management | Health Maintenance Organization | 1803 Lansing Ave Ne, Salem, OR 97301-8733 | 2015-07-07 |
| 1093121709 | Rejuven8 Massage, LLC | Health Maintenance Organization | 388 State St. Ne # B60, Salem, OR 97301-3866 | 2014-07-02 |
| 1316183783 | Mid Valley Employees Benefit Trust | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| 1215488671 | Salem Medical Massage, LLC | Health Maintenance Organization | 249 Liberty St Ne # B60, Salem, OR 97301-3503 | 2016-10-20 |
| 1881056109 | Tracey Marie Russ | Health Maintenance Organization | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-03-25 |
| 1790113934 | Kaiser Permanent | Health Maintenance Organization | 2400 Lancaster Dr Ne, Addiction Medicine, Salem, OR 97305-1221 | 2013-10-25 |
| 1164711933 | Caps | Health Maintenance Organization | 2421 Lancaster Dr Ne, Salem, OR 97305-1220 | 2011-04-01 |
| 1508002973 | Marion Polk Community Health Plan Advantage, Inc. | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| 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.