SALEM SURGERY CENTER, LLC
NPI 1619933264
Clinic/Center - Ambulatory Surgical in Salem, OR

Q: What is Salem Surgery Center, LLC's NPI number?

The NPI number for Salem Surgery Center, LLC is 1619933264. It was assigned to this organization in the NPPES registry on April 23, 2006.

Q: What is Salem Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 23, 2006CLIA 38D0662232 · Waiver

2525 12ST SE, SUITE 110, SALEM, OR 97302(503) 364-3704 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Salem Surgery Center, Llc NPPES

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

SALEM SURGERY CENTER, LLC (NPI 1619933264) is a healthcare organization registered as an ambulatory surgical in Salem, Oregon and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Megan Jackson, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1619933264

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSALEM SURGERY CENTER, LLC

Location Address2525 12ST SE, SUITE 110Salem, OR 97302

Mailing Address2525 12th Street Se, Suite 110Salem, OR 97302 · (503) 364-3704 · Fax (503) 364-0081

Phone(503) 364-3704

Organization SubpartNo

Authorized OfficialMegan JacksonChief Administrative Officer · (503) 364-3704

Enumeration DateApril 23, 2006

Last NPPES UpdateFebruary 2, 2018

✔ NPI 1619933264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2525 12ST SE, Salem, OR 97302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

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 of Waiver 38D0662232

Salem Surgery Center, LLC Dba Northbank Surgical Center · Salem, OR

Active · expires Dec 31, 2027

CLIA Number38D0662232

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorMelvin D. Wade

Laboratory Phone(503) 364-3704

Laboratory LocationSalem Surgery Center, LLC Dba Northbank Surgical Center2525 12th St SE Suite 110, Salem, OR 97302

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

19 services17 patients

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 Salem Surgery Center, LLC's NPI number?

The NPI number for Salem Surgery Center, LLC is 1619933264. It was assigned to this organization in the NPPES registry on April 23, 2006.

Where is Salem Surgery Center, LLC located?

Salem Surgery Center, LLC is located at 2525 12st SE Suite 110, Salem, OR 97302. The listed phone number is (503) 364-3704.

What is Salem Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Salem Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0662232) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salem Surgery Center, LLC accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Salem Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salem Surgery Center, LLC was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.