SOUTH SALEM IMMEDIATE CARE
NPI 1124311550
Specialist in Salem, OR

Active since May 18, 2011CLIA 38D0625680 · Microscopy
3777 COMMERCIAL ST SE, SALEM, OR 97302(503) 588-1234(503) 371-8662 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Salem Immediate Care NPPES

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

SOUTH SALEM IMMEDIATE CARE (NPI 1124311550) is a healthcare organization registered as a specialist in Salem, Oregon and active in the NPI registry since May 2011. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Karleen Rae Kitzmiller, Owner, as its authorized official.

NPPES Registry Identity

NPI1124311550
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameURGENT CARE CLINIC SOUTH
Location Address3777 COMMERCIAL ST SESalem, OR 97302-3832
Mailing Address3777 Commercial St SeSalem, OR 97302-3832 · (503) 588-1234 · Fax (503) 371-8662
Fax(503) 371-8662
Organization SubpartNo
Authorized OfficialKarleen Rae KitzmillerOwner · (503) 588-1234
Enumeration DateMay 18, 2011
NPI 1124311550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · MD10412
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3777 COMMERCIAL ST SE, Salem, OR 97302

Other Names 1

Doing Business AsSouth Salem Immediate Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0625680

Urgent Care Clinic South Inc · Salem, OR
Active · expires Dec 31, 2027
CLIA Number38D0625680
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorScott F. Miller MD
Laboratory Phone(503) 588-1234
Laboratory LocationUrgent Care Clinic South Inc3777 Commercial SE, Salem, OR 97302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
3777 COMMERCIAL ST SE
SALEM, OR 97302
Internal Medicine
3777 COMMERCIAL ST SE
SALEM, OR 97302
Family Medicine
3777 COMMERCIAL ST SE
SALEM, OR 97302
Clinic/Center (Urgent Care)
3777 COMMERCIAL ST SE
SALEM, OR 97302

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 Urgent Care Clinic South's NPI number?

The NPI number for Urgent Care Clinic South is 1124311550. It was assigned to this organization in the NPPES registry on May 18, 2011. The provider is doing business as South Salem Immediate Care.

Where is Urgent Care Clinic South located?

Urgent Care Clinic South is located at 3777 Commercial St SE, Salem, OR 97302. The listed phone number is (503) 588-1234.

What is Urgent Care Clinic South's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Urgent Care Clinic South hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0625680) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Urgent Care Clinic South was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.