| Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | |
|
3750 Chemawa Rd Ne Salem OR 97305-1119 | |
| (503) 304-7600 | |
| (503) 304-7678 |
| Full Name | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit |
|---|---|
| Speciality | Clinic/Center |
| Location | 3750 Chemawa Rd Ne, Salem, Oregon |
| Authorized Official Name and Position | Laura J Herbison (ACTING CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5033047659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit 3750 Chemawa Rd Ne Salem OR 97305-1119 Ph: (503) 304-7600 | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit 3750 Chemawa Rd Ne Salem OR 97305-1119 Ph: (503) 304-7600 |
| NPI Number | 1578565347 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 10/08/2014 |
| Medicare PECOS PAC ID | 1759307796 |
|---|---|
| Medicare Enrollment ID | O20051019000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578565347 | NPI | - | NPPES |
| 278159 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lydia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407833239 PECOS PAC ID: 9537133137 Enrollment ID: I20040820000183 |
| Provider Name | Donald R Asay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306878897 PECOS PAC ID: 0749246999 Enrollment ID: I20041208001115 |
| Provider Name | Ahmed H Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497729032 PECOS PAC ID: 5597709311 Enrollment ID: I20050614000359 |
| Provider Name | Stephen Miles Rudd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952303273 PECOS PAC ID: 6507884731 Enrollment ID: I20051107000538 |
| Provider Name | Pamela G Witherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278789 PECOS PAC ID: 3072532415 Enrollment ID: I20051115001026 |
| Provider Name | Thomas Weiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962687707 PECOS PAC ID: 5597838045 Enrollment ID: I20080717000176 |
| Provider Name | Joseph P Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285667188 PECOS PAC ID: 1153466214 Enrollment ID: I20100301000959 |
| Provider Name | Michael J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366433948 PECOS PAC ID: 3870811748 Enrollment ID: I20150406002032 |
| Provider Name | Philippe Champagne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053632430 PECOS PAC ID: 8921321415 Enrollment ID: I20151209000162 |
| Provider Name | Scottie A Bussell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1003196429 PECOS PAC ID: 4688968969 Enrollment ID: I20160809002483 |
| Provider Name | Marc W Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235131749 PECOS PAC ID: 1951291293 Enrollment ID: I20171219002534 |
| Provider Name | Christian A Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497315824 PECOS PAC ID: 0749518173 Enrollment ID: I20190823000454 |
| Provider Name | Andrew J Trego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053439331 PECOS PAC ID: 6103255443 Enrollment ID: I20200715003310 |
| Provider Name | Edward G Groenhout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760487557 PECOS PAC ID: 8426042177 Enrollment ID: I20201119000269 |
| Provider Name | Beth R Cloos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811298201 PECOS PAC ID: 4284034703 Enrollment ID: I20210621000657 |
| Provider Name | Kristie L. Knows His Gun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174874812 PECOS PAC ID: 2860890308 Enrollment ID: I20211013002049 |
| Provider Name | Naomi E Shantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316503774 PECOS PAC ID: 3779813340 Enrollment ID: I20211019000196 |
| Provider Name | Alexandra Mae Gloor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912511 PECOS PAC ID: 1355737677 Enrollment ID: I20220413000321 |
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