MID-VALLEY HEALTHCARE, INC. (NPI# 1043838519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043838519 |
Entity Type | Organization |
Organization Name | MID-VALLEY HEALTHCARE, INC. |
Other Organization Name | SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE |
Practice Address |
100 Mullins Dr Ste C2 Lebanon OR 97355-2868 |
Practice Telephone | 5414516413 |
Practice Fax Number | 5418122041 |
Mailing Telephone | 5414516413 |
Mailing Fax Number | 5418122041 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
Authorized Official Name | JOSEPH M CAHILL III (CEO) |
Authorized Official Telephone | 5414517914 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Samaritan Medical Group - Geriatric Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
1164942611 | Mid-valley Healthcare, Inc. | Pain Medicine | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | 2017-06-26 |
1427406248 | Mid-valley Healthcare, Inc. | Family Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-06-02 |
1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
1073879227 | Mid-valley Healthcare, Inc. | Clinic/Center | 157 Spaulding Avenue, Brownsville, OR 97327 | 2012-04-02 |
1003362922 | Mid-valley Healthcare, Inc. | Pain Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2016-08-31 |
1083067847 | Mid-valley Healthcare, Inc. | Internal Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-07-18 |
1518347608 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2015-06-03 |
1174862304 | Mid-valley Healthcare, Inc. | Urology | 100 Mullins Dr, Suite D-3, Lebanon, OR 97355-2868 | 2013-02-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | MID-VALLEY HEALTHCARE, INC. | 525 N Santiam Hwy, Lebanon, OR 97355 |
Street Address |
100 MULLINS DR STE C2 |
City | LEBANON |
State | OR |
Zip Code | 97355-2868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194862821 | Kelley Story | Counselor | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2007-01-31 |
1023567328 | James Page | Counselor | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2016-09-27 |
1003274895 | Jessica Krieger | Counselor | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2016-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
Find all providers in zip 97355 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
1932206703 | David I Rosen | Family Medicine | 16 Cratetown Rd, Lebanon, NJ 08833-3008 | 2006-09-20 |
1982623690 | Christopher S. Allen | Family Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-19 |
1134168230 | James D Stauffer | Family Medicine | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-06-05 |
1467418566 | Dwight Lawrence Bailey | Family Medicine | 143 W Main St, Lebanon, VA 24266-4430 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
1366589905 | Bruce W Duffy | Family Medicine | 4182 Vitae Springs Rd S, Salem, OR 97306-9705 | 2007-01-31 |
1518028976 | Samuel S Suk | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2006-12-12 |
1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
1225117625 | Barbara Ellen Moore | Family Medicine | 4311 Melqua Rd, Roseburg, OR 97470-8953 | 2006-11-04 |
1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
1578508214 | Natasa Petrac | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-06-17 |
1962975284 | Rachel Marie Nolan | Family Medicine | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-01-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.