WVP MEDICAL GROUP- BOULDER CREEK
NPI 1831504968
Clinic/Center in Salem, OR

NPI Status: Active since June 27, 2014

Contact Information

2485 12TH ST. SE
SALEM, OR
ZIP 97302
Phone: (503) 363-8047
Fax: (503) 363-6571

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Accepts Insurance

About WVP MEDICAL GROUP- BOULDER CREEK

This page provides the complete NPI Profile along with additional information for Wvp Medical Group- Boulder Creek, a provider established in Salem, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1831504968 assigned on June 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Wvp Medical Group- Boulder Creek. The authorized official of this NPI record is Mr. Dean Andretta (Cfo)

NPI
1831504968
Provider Legal Name
WVP MEDICAL GROUP, LLC
Other Organization Name
WVP MEDICAL GROUP- BOULDER CREEK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2485 12TH ST. SE SALEM, OR 97302
Location Phone
(503) 363-8047
Location Fax
(503) 363-6571
Mailing Address
2485 12TH ST. SE SALEM, OR 97302
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-27-2014
Last Update Date
06-27-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DEAN ANDRETTA

Authorized Official Title
CFO
Authorized Official Phone
(503) 371-7701

Reviews for WVP MEDICAL GROUP- BOULDER CREEK

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831504968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611008912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 8 + 9 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1831504968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831504968, enumerated in the NPI registry as an "organization" on June 27, 2014

The provider is located at 2485 12th St. Se Salem, Or 97302 and the phone number is (503) 363-8047

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 27, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.