NORTHWEST HUMAN SERVICES, INC.


Address: 1245 Edgewater St Nw, Salem, OR 97304-4049
Phone: 5035885816

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
West Salem Clinic Mental Health Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NORTHWEST HUMAN SERVICES, INC. 681 Center St Ne, Salem, OR 97301

Office Location

Street Address 1245 EDGEWATER ST NW
City SALEM
State OR
Zip Code 97304-4049

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SALEM
Zip Code 97304

Improve Information

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Dataset Information

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.

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