SANTIAM MEMORIAL HOSPITAL (NPI# 1154302214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154302214 |
| Entity Type | Organization |
| Organization Name | SANTIAM MEMORIAL HOSPITAL |
| Practice Address |
1401 N 10th Ave Stayton OR 97383-1485 |
| Practice Telephone | 5037699215 |
| Mailing Telephone | 5037692175 |
| Mailing Fax Number | 5037695877 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. TERRY L FLETCHALL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5037699233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 14 0709 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205048097 | Santiam Memorial Hospital | Family Medicine | 280 S First Ave, Mill City, OR 97360 | 2007-05-04 |
| 1023628419 | Santiam Memorial Hospital | Clinic/Center | 5000 Deer Park Dr Se, Salem, OR 97317-9392 | 2020-07-31 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1275049850 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave Ste 200, Stayton, OR 97383 | 2017-12-19 |
| 1982154712 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-10-05 |
| 1477909570 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave, Ste. 100, Stayton, OR 97383-1486 | 2016-05-06 |
| 1518354547 | Santiam Memorial Hospital | Clinic/Center | 114 Se Church St, Sublimity, OR 97385-9714 | 2015-04-16 |
| 1790171874 | Santiam Memorial Hospital | Clinic/Center | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 | 2015-04-15 |
| 1396131389 | Santiam Memorial Hospital | Clinic/Center | 280 S 1st Ave, Mill City, OR 97360-0003 | 2015-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SANTIAM MEMORIAL HOSPITAL | 1401 N 10th Ave, Stayton, OR 97383 |
| System for Award Management (SAM) Entities | SANTIAM MEMORIAL HOSPITAL | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Street Address |
1401 N 10TH AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679778 | Lawrence Boone | Specialist/Technologist, Other | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-04-28 |
| 1447883921 | Jeremy Keith Walker | Respiratory Therapist, Registered | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-02-13 |
| 1043861123 | Mary Margaret Gescher | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-20 |
| 1851941058 | Chanelle Maldonado | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-19 |
| 1932759206 | Joni Clancy | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-18 |
| 1548739725 | Tammy Lynette Abell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2018-11-17 |
| 1982154712 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-10-05 |
| 1659720720 | Donald Raymond Turrell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-06-08 |
| 1235587668 | Jamie Elizabeth Robinson | Family Medicine | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-05-26 |
| 1477909570 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave, Ste. 100, Stayton, OR 97383-1486 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154712 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447665526 | Linda Damaskos | General Acute Care Hospital | 310 Nw Upyown Terrace, 2a, Portland, OR 97210 | 2014-06-26 |
| 1003246174 | Rebecca Changizian | General Acute Care Hospital | 2929 Ne 25th Ave, Portland, OR 97212-3460 | 2013-11-26 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1235483199 | Kaiser Sunnyside Medical Center | General Acute Care Hospital | 3480 Mock Orange Ct S, Salem, OR 97302-3647 | 2012-10-30 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1710241922 | Silverton Hospital | General Acute Care Hospital | 700 Sw Lupine Ct, Sublimity, OR 97385-9509 | 2012-07-02 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1194024760 | Lisa Marie Arbuckle | General Acute Care Hospital | 16105 Sw 108th Ave, Apt. 212, Tigard, OR 97224-4870 | 2011-03-22 |
| 1679879662 | Veterans Hospital | General Acute Care Hospital | 3710 S.w. U.S. Veterans Road, Portland, OR 97239-2964 | 2011-02-08 |
| 1083866933 | Providence St Vincent Hospital | General Acute Care Hospital | 1235 Ne 47th Ave, Suite 285, Portland, OR 97213-2100 | 2008-10-22 |
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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.