Organization
SOUTH SALEM IMMEDIATE CARE INC.
Active
Other names
DBA Urgent Care Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL MADDY (PRESIDENT/OWNER)
(503) 588-1234
Entity
Organization
Contact information
Practice address
3777 COMMERCIAL ST SE, SALEM, OR 97302
(503) 588-1234
(503) 371-8662
Mailing address
3777 COMMERCIAL ST SE, SALEM, OR 97302
(503) 588-1234
(503) 371-8662
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD11684
OR
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130226
—
OR
Enumeration date
01/24/2007
Last updated
11/27/2018
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