MARION COUNTY HEALTH DEPARTMENT (NPI# 1740543297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740543297 |
| Entity Type | Organization |
| Organization Name | MARION COUNTY HEALTH DEPARTMENT |
| Other Organization Name | HER PLACE RESIDENTIAL HOME |
| Practice Address |
3529 Fisher Rd Ne Salem OR 97305 |
| Mailing Address |
3180 Center St Ne Salem OR 97301-4592 |
| Practice Telephone | 5033621399 |
| Mailing Telephone | 5033621399 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | MAI CAO (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5033612648 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARION COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
OR | Residential Treatment Facilities | |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OR | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Her Place Residential Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811271778 | Marion County Health Department | Public Health or Welfare | 1801 Se 32ndave, Ocala, FL 34471 | 2011-10-10 |
| 1700056694 | Marion County Health Department | Clinic/Center | 747 Horseback Ct Ne, Salem, OR 97301-3195 | 2008-03-06 |
| 1689634685 | Marion County Health Department | Public Health or Welfare | 111a Baker Street, Buena Vista, GA 31803-0404 | 2006-03-24 |
| 1891048864 | Marion County Health Department | Registered Nurse | 1801 Se 32nd Ave, Ocala, FL 34478-5532 | 2012-10-16 |
| 1184976482 | Marion County Health Department | Registered Nurse | 1801 Se 32nd Ave, Ocala, FL 34471-5532 | 2012-10-10 |
| 1356628119 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 2035 Davcor St Se, Salem, OR 97302-1595 | 2011-11-08 |
| 1487881959 | Marion County Health Department | Community Based Residential Treatment Facility, Mental Illness | 2435 Greenway Dr Ne, Salem, OR 97301-4535 | 2009-06-11 |
| 1073758199 | Marion County Health Department | Case Management | 3180 Center St Ne, Salem, OR 97301-4532 | 2008-12-03 |
| 1528219326 | Marion County Health Department | Public Health or Welfare | 3180 Center St Ne, Suite 2360, Salem, OR 97301-4532 | 2008-10-10 |
| 1952578668 | Marion County Health Department | Public Health or Welfare | 118 Cross Creek Blvd, Salem, IL 62881-1920 | 2008-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARION COUNTY HEALTH DEPARTMENT | 3180 Center St Ne Ste 200, Salem, OR 97301-4532 |
| Street Address |
3529 FISHER RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578078234 | Arden Wellness LLC | Substance Abuse Rehabilitation Facility | 15 Ermer Rd Unit 201, Salem, NH 03079-1273 | 2017-12-04 |
| 1710418447 | Phc of Virginia, LLC | Substance Abuse Rehabilitation Facility | 120 Roanoke Blvd, Salem, VA 24153-4908 | 2017-03-24 |
| 1982017992 | Odyssey Complete LLC | Substance Abuse Rehabilitation Facility | 465 Commercial St Ne Ste 150, Salem, OR 97301-3414 | 2014-06-06 |
| 1639228778 | Phc of Virginia, Inc. | Substance Abuse Rehabilitation Facility | 405 Kimball Avenue, Salem, VA 24153 | 2007-01-09 |
| 1730635608 | Bridgeway Recovery Services | Substance Abuse Rehabilitation Facility | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-08-30 |
| 1356628119 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 2035 Davcor St Se, Salem, OR 97302-1595 | 2011-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1548822216 | Oregon Recovery Behavioral Health | Substance Abuse Rehabilitation Facility | 1184 Mcgee Ct Ne Ste 200, Keizer, OR 97303-9443 | 2019-07-02 |
| 1972011682 | Women's Enrichment Counseling | Substance Abuse Rehabilitation Facility | 1300 John Adams St Ste 103, Oregon City, OR 97045-1691 | 2018-01-16 |
| 1356851042 | Debra Monaghan | Substance Abuse Rehabilitation Facility | 1271 Sw 9th St, Warrenton, OR 97146-9418 | 2017-10-06 |
| 1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
| 1043760838 | Pacific Crest Trail Detox LLC | Substance Abuse Rehabilitation Facility | 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405 | 2016-10-05 |
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1851757454 | Circle of Trust Healing Center, LLC | Substance Abuse Rehabilitation Facility | 3300 Butler Creek Rd, Ashland, OR 97520-9173 | 2016-01-12 |
| 1700258258 | La Pine Ktc, LLC | Substance Abuse Rehabilitation Facility | 16161 Burgess Rd, La Pine, OR 97739-9533 | 2015-10-23 |
| Find all providers with the same taxonomy | ||||
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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.