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SALEM NORTH DIALYSIS
NPI 1063474229
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Salem, OR

Active since April 04, 2006
1220 LIBERTY ST NE, SALEM, OR 97303(503) 315-2212(503) 315-2199 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2021, Apr 14, 2020, Oct 21, 2019 (3 updates tracked since 2019).

About Salem North Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM NORTH DIALYSIS (NPI 1063474229) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Salem, Oregon and active in the NPI registry since April 2006. The organization lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1063474229
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address1220 LIBERTY ST NESalem, OR 97303-7330
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6814 · Fax (800) 293-8405
Phone(503) 315-2212
Fax(503) 315-2199
Organization SubpartNo
Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
✔ NPI 1063474229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in OR · 170050
1220 LIBERTY ST NE, Salem, OR 97303
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Other Names 1

Doing Business AsSalem North Dialysis

Other Identifiers 2

Medicaid297033OR
Medicaid3990520WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1063474229. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Salem North Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 1220 Liberty St NE, Salem, OR 97303. The listed phone number is (503) 315-2212.

What is DVA Healthcare Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Renal Care Inc was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.