MID-VALLEY HEALTHCARE, INC.


Address: 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868
Phone: 5414516413

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Samaritan Medical Group - Geriatric Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MID-VALLEY HEALTHCARE, INC. 525 N Santiam Hwy, Lebanon, OR 97355

Office Location

Street Address 100 MULLINS DR STE C2
City LEBANON
State OR
Zip Code 97355-2868

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City LEBANON
Zip Code 97355

Improve Information

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Dataset Information

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.

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