NORTHWEST HUMAN SERVICES, INC. (NPI# 1194082867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194082867 |
Entity Type | Organization |
Organization Name | NORTHWEST HUMAN SERVICES, INC. |
Other Organization Name | WEST SALEM CLINIC MENTAL HEALTH |
Practice Address |
1245 Edgewater St Nw Salem OR 97304-4049 |
Mailing Address |
681 Center St Ne Salem OR 97301-3722 |
Practice Telephone | 5035885816 |
Practice Fax Number | 5035885803 |
Mailing Telephone | 5035885828 |
Mailing Fax Number | 5035885852 |
Enumeration Date | 2012-04-18 |
Last Update Date | 2016-07-08 |
Authorized Official Name | MR. PAUL LOGAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5035885831 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHWEST HUMAN SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
West Salem Clinic Mental Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447332994 | Northwest Human Services, Inc. | Clinic/Center | 180 Atwater St N, Monmouth, OR 97361-1801 | 2006-10-20 |
1790865798 | Northwest Human Services, Inc. | Clinic/Center | 694 Church St Ne, Salem, OR 97301-2401 | 2006-10-16 |
1871530758 | Northwest Human Services, Inc. | Clinic/Center | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2006-06-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | NORTHWEST HUMAN SERVICES, INC. | 681 Center St Ne, Salem, OR 97301 |
Street Address |
1245 EDGEWATER ST NW |
City | SALEM |
State | OR |
Zip Code | 97304-4049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609957356 | Susan Barnes | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2006-10-18 |
1225671910 | Summer Joy Valentine | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-24 |
1346895075 | Anne Elizabeth Wagner | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-08-08 |
1992273718 | Marc R Malone | Psychologist | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-11-09 |
1043704554 | Erin Melissa Cox | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-06-18 |
1386167732 | Julie Marie O'connor | Social Worker | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2017-07-18 |
1366892408 | Miranda Featherstone | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2016-06-20 |
1518334028 | Ryan Matthew Gunter | Physician Assistant | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-09-01 |
1073903977 | Gerardo Jimenez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
1265822167 | Ivan Gutierrez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558752824 | Community Care of West Virginia, Inc. | Clinic/Center | Rr 1 Box 10a, Salem, WV 26426-9703 | 2015-02-09 |
1497014914 | Northwest Human Services, Inc | Clinic/Center | 1275 Edgewater St Nw, Salem, OR 97304-4049 | 2012-05-04 |
1972684710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 3896 Beverly Ave Ne Ste 40 Building J, Salem, OR 97305-1374 | 2006-10-18 |
1912431818 | 1st Choice Healthcare Inc | Clinic/Center | 172 Highway 62 W, Salem, AR 72576-8059 | 2017-04-18 |
1255877858 | Yakima Valley Farm Workers Clinic | Clinic/Center | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2017-01-06 |
1568907673 | Lifespring Inc | Clinic/Center | 1321 S Jackson St, Salem, IN 47167-9730 | 2016-12-28 |
1467995852 | Yakima Valley Farm Workers Clinic | Clinic/Center | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2016-12-02 |
1588910384 | North Shore Community Health, Inc | Clinic/Center | 47 Congress St, Salem, MA 01970-7308 | 2012-07-30 |
1821381641 | Community Action Agency of Columbiana County, Inc | Clinic/Center | 2020 E State St, Suite K, Salem, OH 44460-2480 | 2011-05-26 |
1104940493 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 238 E Broadway, Salem, NJ 08079-1108 | 2007-03-19 |
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.