MID-VALLEY HEALTHCARE, INC. (NPI# 1174862304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174862304 |
| Entity Type | Organization |
| Organization Name | MID-VALLEY HEALTHCARE, INC. |
| Other Organization Name | SAMARITAN UROLOGY-MOORE, LEBANON |
| Practice Address |
100 Mullins Dr Suite D-3 Lebanon OR 97355-2868 |
| Practice Telephone | 5418124388 |
| Practice Fax Number | 5418124393 |
| Mailing Telephone | 5418124388 |
| Mailing Fax Number | 5418124393 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | BECKY PAPE (CEO) |
| Authorized Official Telephone | 5414517107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samaritan Urology-Moore, Lebanon | 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 |
| 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 |
| 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 SUITE D-3 |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972679256 | Luis Arrazola | Transplant Surgery | 100 Mullins Dr, Suite C-1, Lebanon, OR 97355-3982 | 2006-11-28 |
| 1407464324 | Yvette Escalante | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Lebanon, OR 97355-3982 | 2020-07-16 |
| 1437505781 | Nicole Monthei | Registered Nurse | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2016-05-05 |
| 1982956876 | Deborah A Rich | Community Health Worker | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-10-03 |
| 1669727160 | John Weaver | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-07-20 |
| 1225383722 | Katlin Terra | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-07-20 |
| 1740541382 | Charles L Fitzsimons | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-05-30 |
| 1285995969 | Alma Ordaz | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-05-30 |
| 1366701344 | Mid-valley Healthcare, Inc | Internal Medicine | 100 Mullins Dr, Suite B1, Lebanon, OR 97355-3982 | 2012-05-10 |
| 1962768598 | Shelley Brown | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-04-09 |
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| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104187632 | Jay Edmund Sulek | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087 | 2012-05-31 |
| 1871818880 | Daniel Lee | Urology | 735 Norman Dr Ste B, Lebanon, PA 17042-7559 | 2010-04-01 |
| 1184686107 | Madhukar R Patel | Urology | 815 Norman Dr, Lebanon, PA 17042-7445 | 2006-04-05 |
| 1902308331 | Lancaster Urology | Urology | 1510 Cornwall Rd, Lebanon, PA 17042-7479 | 2018-03-01 |
| 1235655952 | Urology Associates PC | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2017-08-15 |
| 1558749846 | Good Samaritan Physician Services | Urology | 735 Norman Dr, Suite B, Lebanon, PA 17042-7497 | 2015-05-07 |
| 1003293887 | Gina Nicole Tundo | Urology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-30 |
| 1578901195 | Michael Thomas Grant | Urology | One Medical Center Drive, Dartmouth Hitchcock - Urology, Lebanon, NH 03756-1000 | 2013-06-05 |
| 1033459854 | Spring View Physician Practice, LLC | Urology | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2013-02-15 |
| 1245595180 | Mid-valley Healthcare, Inc. | Urology | 425 N Santiam Hwy, Suite 2a, Lebanon, OR 97355-4361 | 2012-07-06 |
| Find all providers in LEBANON | ||||
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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.