MID-VALLEY HEALTHCARE INC. NPI 1881950038

NPI Information

NPI: 1881950038
Provider Name: MID-VALLEY HEALTHCARE, INC.

Doing Business As: SAMARITAN FAMILY MEDICINE RESIDENT CLINIC LEBANON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
425 N SANTIAM HWY
LEBANON, OR
ZIP 97355
Phone: (541) 451-6960
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MID-VALLEY HEALTHCARE, INC. is a rural health clinic center in Lebanon, OR. MID-VALLEY HEALTHCARE, INC. NPI is 1881950038. The provider is registered as an organization entity type.
The provider Is Doing Business As Samaritan Family Medicine Resident Clinic Lebanon.

The provider's business location address is:

425 N SANTIAM HWY
LEBANON, OR
ZIP 97355-361
Phone: (541) 451-6960
Fax: (541) 918-5419

The provider's authorized official is Joseph M. Cahill .
The authorized official title is Ceo and has the following contact phone number (541) 451-7914.

The CLIA number assigned to this NPI record is 38D0667964 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/2/2012 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500651908	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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