SOUTH SALEM IMMEDIATE CARE INC. (NPI# 1871648402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871648402 |
| Entity Type | Organization |
| Organization Name | SOUTH SALEM IMMEDIATE CARE INC. |
| Other Organization Name | DBA URGENT CARE CLINIC SOUTH |
| Practice Address |
3777 Commercial St Se Salem OR 97302 |
| Practice Telephone | 5035881234 |
| Practice Fax Number | 5033718662 |
| Mailing Telephone | 5035881234 |
| Mailing Fax Number | 5033718662 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MS. RACHEL MADDY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5035881234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | MD11684 | OR | Other Service Providers |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 130226 | 05 |
| Other Name | Type Code |
|---|---|
| DBA Urgent Care Clinic South | Doing Business As Name - Organization |
| Street Address |
3777 COMMERCIAL ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124311550 | Urgent Care Clinic South | Specialist | 3777 Commercial St Se, Salem, OR 97302-3832 | 2011-05-18 |
| 1144480617 | Edythe Schlossstein | Internal Medicine | 3777 Commercial St Se, Salem, OR 97302-3832 | 2008-06-09 |
| 1245449099 | Michael Brown | Family Medicine | 3777 Commercial St Se, Salem, OR 97302-3832 | 2007-05-21 |
| 1073732681 | Michael Charles White | Contractor | 3777 Commercial St Se, Salem, OR 97302-3832 | 2007-04-24 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812687 | Mend Clinic LLC | Clinic/Center | 2936 Commercial St Se, Salem, OR 97302-4552 | 2017-10-20 |
| 1235657156 | Swiftcare LLC | Clinic/Center | 560 Wallace Rd Nw Ste 140, Salem, OR 97304-3858 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1821620402 | Praxis Medical Group Inc | Clinic/Center | 2215 Nw Shevlin Park Road, Suite 100, Bend, OR 97703-7195 | 2020-02-11 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1215388145 | Family Choice Urgent Care LLC | Clinic/Center | 108 Nw Sisemore St, Suite 120, Bend, OR 97703-2869 | 2016-06-22 |
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1710349477 | Uptown Providers PC | Clinic/Center | 14284 Sw Allen Blvd, Beaverton, OR 97005-4405 | 2016-03-22 |
| 1790188043 | Emurgent Care LLC | Clinic/Center | 109b E Ellendale Ave, Dallas, OR 97338-1794 | 2014-10-01 |
| 1134563620 | Uptown Providers Inc | Clinic/Center | 7033 Ne Sandy Blvd, Portland, OR 97213 | 2013-04-26 |
| 1639428436 | Urgent Care Express PC | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1200, Portland, OR 97212-5336 | 2012-09-07 |
| 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.