WILLAMETTE VALLEY TRANSPORT (NPI# 1609890003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609890003 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE VALLEY TRANSPORT |
| Practice Address |
725 Ratcliff Dr Se Salem OR 97302-3236 |
| Practice Telephone | 5035695944 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY MCCLAIN (PRESIDENT) |
| Authorized Official Telephone | 5035695944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | OR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 233330 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLAMETTE VALLEY TRANSPORT, INC. | 1440 13th St Se, Salem, OR 97302 |
| Street Address |
725 RATCLIFF DR SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538495213 | Willamette Valley Medical Transport | Non-emergency Medical Transport (VAN) | 725 Ratcliff Dr Se, Salem, OR 97302-3236 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154144 | Festus Kromah Jr. | Non-emergency Medical Transport (VAN) | 193 Jefferson Ave Ste 101, Salem, MA 01970-2959 | 2019-09-27 |
| 1154804003 | Alexander Loyola | Non-emergency Medical Transport (VAN) | 3250 Turner Rd Se, Salem, OR 97302-2033 | 2018-09-06 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1538651252 | Caring Hands 1 Inc. | Non-emergency Medical Transport (VAN) | 2022 Lone Fir Ct Se, Salem, OR 97306-1074 | 2018-05-30 |
| 1174998207 | Shrieka Gilliard | Non-emergency Medical Transport (VAN) | 122 Flat Shoals Rd, Salem, SC 29676-2717 | 2015-12-01 |
| 1982851713 | Hoosier Transport Service Inc | Non-emergency Medical Transport (VAN) | 101 Connie Ave, Salem, IN 47167-2305 | 2008-08-22 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1992913123 | Catherine Lynn Whitener | Non-emergency Medical Transport (VAN) | 2328 N Nolan Dr, Salem, IN 47167-8894 | 2007-05-20 |
| 1952367807 | Klg Mobile Intensive Co LLC | Non-emergency Medical Transport (VAN) | 1516 B South Lincoln Avenue, Salem, OH 44460-4249 | 2006-04-20 |
| 1184687519 | Medi-ride, Inc. | Non-emergency Medical Transport (VAN) | 1414 W Mulberry St, Salem, IN 47167-9434 | 2006-04-07 |
| 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.