Innervision Health Services, Inc

LBN: Innervision Health Services, Inc
Innervision Health Services, Inc is an health care organization with primary practice located at 681 Cottage St Ne , Salem OR 97301-2419. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Innervision Health Services, Inc can be contacted via phone (336) 314-7105, or through Wiggins, Ebony Dechelle via phone (336) 314-7105.

Contact Information

Primary practice address
681 Cottage St Ne Salem OR 97301-2419
Phone: (336) 314-7105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiggins, Ebony Dechelle
Phone: (336) 314-7105

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1548022601
LBN Legal business name Innervision Health Services, Inc
DBA Doing business as
Authorized official Wiggins, Ebony Dechelle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2024
Last updated Jan 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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