Dba Urgent Care Clinic South
LBN: South Salem Immediate Care Inc.
Dba Urgent Care Clinic South is an health care organization with primary practice located at 3777 Commercial St Se , Salem OR 97302. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
South Salem Immediate Care Inc. can be contacted via phone (503) 588-1234, or through Maddy, Rachel via phone (503) 588-1234.
Contact Information
Primary practice address
3777 Commercial St Se
Salem OR 97302
Phone: (503) 588-1234
Fax: (503) 371-8662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | MD11684 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1871648402 |
|---|---|
| LBN Legal business name | South Salem Immediate Care Inc. |
| DBA Doing business as | Dba Urgent Care Clinic South |
| Authorized official | Maddy, Rachel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 27th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871648402 | NPPES |
| Oregon | MEDICAID | 130226 |
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