MID-VALLEY HEALTHCARE, INC. (NPI# 1164942611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164942611 |
| Entity Type | Organization |
| Organization Name | MID-VALLEY HEALTHCARE, INC. |
| Other Organization Name | SAMARITAN RECOVERY CLINIC CORVALLIS |
| Practice Address |
5234 Sw Philomath Blvd Ste C Corvallis OR 97333-1042 |
| Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
| Practice Telephone | 5414517450 |
| Practice Fax Number | 5414517454 |
| Mailing Telephone | 5414517450 |
| Mailing Fax Number | 5414517454 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | JOSEPH M CAHILL (CEO) |
| Authorized Official Telephone | 5415576441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| SAMARITAN RECOVERY CLINIC CORVALLIS | 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 |
| 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 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| 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 |
5234 SW PHILOMATH BLVD STE C |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053744524 | Christopher Jason Smith | Pain Medicine | 545 Sw 2nd St, Ste 200, Corvallis, OR 97333-4466 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392269 | Carlos Ceballos, Md | Pain Medicine | 10373 Ne Hancock St Ste 216, Portland, OR 97220-3873 | 2007-04-11 |
| 1760529218 | Raskal Enterprises, PC | Pain Medicine | 3334 Ne 29th Ave, Portland, OR 97212-2536 | 2007-01-31 |
| 1932535390 | Summit Health Solutions | Pain Medicine | 2364 Main St, Suite A, Philomath, OR 97370-9488 | 2013-09-17 |
| 1952663528 | Jack Edward Berndt | Pain Medicine | 1957 Thompson Rd, Ste. F, Coos Bay, OR 97420-2031 | 2012-06-11 |
| 1467718908 | Katarzyna Barbara Iwan | Pain Medicine | 9925 Sw Nimbus Ave, #100, Beaverton, OR 97008-7591 | 2012-04-10 |
| 1649555145 | Frida Center LLC | Pain Medicine | 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221-1461 | 2011-10-15 |
| 1023237104 | Pain Mangement Partners, LLC | Pain Medicine | 2401 River Rd, Suite 101, Eugene, OR 97404-5414 | 2007-04-25 |
| 1760531339 | Advanced Pain Management Center PC | Pain Medicine | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-10 |
| 1376610915 | William B Croson | Pain Medicine | 790 E 5th St, Coquille, OR 97423-1755 | 2006-11-29 |
| 1518054097 | Christopher F. Amsden | Pain Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2006-10-06 |
| 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.