OrganizationActive
Marion Polk Community Health Plan, LLC.
NPI 1063658425 · Health Maintenance Organization · Salem, OR
Provider details
- NPI number
- 1063658425
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Mid Valley Ipa
- Organization subpart
- Yes
- Authorized official
- Dean Andretta, Cfo(503) 587-5107
Specialties & taxonomies
Managed Care Organizations
Practice location
245 Commercial St Se Ste 220
Salem, OR 97301-3466
Phone: (503) 371-7701
Fax: (503) 485-3224
Approximate (ZIP-level) locationGet directions
Mailing address
245 Commercial St Se Ste 220
Salem, OR 97301-3466
Other names (DBA / former)
- Other name
- Mpchp Ohp
Registry dates
- Enumerated
- 2009-01-06
- Last updated
- 2009-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.