# SOUTH SALEM IMMEDIATE CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA Urgent Care Clinic South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871648402
- **Authorized official:** MS. RACHEL MADDY (PRESIDENT/OWNER)
- **Authorized official phone:** (503) 588-1234

## Contact information

- **Practice address:** 3777 COMMERCIAL ST SE, SALEM, OR 97302
- **Practice address phone:** (503) 588-1234
- **Practice address fax:** (503) 371-8662
- **Mailing address:** 3777 COMMERCIAL ST SE, SALEM, OR 97302
- **Mailing address phone:** (503) 588-1234
- **Mailing address fax:** (503) 371-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MD11684 | OR | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 11/27/2018