NPI 1164711933

Caps

Organisation Health Maintenance Organization Salem, OR

Practice location

Address: 2421 Lancaster Dr NE, Salem, OR 97305-1220
Phone: (503) 576-4568
Fax: (503) 361-2782
Mailing address: 1653 Elk Cir SW, Albany, OR 97321-3734

Authorised official

Name: Ty Pos
Title: Wraparound Facilitator
Phone: (503) 576-4568

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence A5022 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1164711933
Entity type: Organization
NPI issued: 1 Apr 2011
Record last updated: 1 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.