Provider Demographics
NPI:1245237486
Name:SALEM HEALTH WEST VALLEY
Entity Type:Organization
Organization Name:SALEM HEALTH WEST VALLEY
Other - Org Name:WEST VALLEY HOSPITAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXEC VP AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-814-2841
Mailing Address - Street 1:PO BOX 94269
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6569
Mailing Address - Country:US
Mailing Address - Phone:503-623-8301
Mailing Address - Fax:
Practice Address - Street 1:525 SE WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-2834
Practice Address - Country:US
Practice Address - Phone:503-623-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR141461275N00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR100112Medicaid
OR381308Medicare PIN
OR38Z308Medicare Oscar/Certification
ORR113854Medicare PIN
OR381308Medicare Oscar/Certification
OR38Z308Medicare PIN