GOOD SAMARITAN REGIONAL MEDICAL CENTER (NPI# 1205045770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205045770 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
| Practice Address |
3509 Nw Samaritan Dr Corvallis OR 97330-3766 |
| Practice Telephone | 5417686833 |
| Practice Fax Number | 5417685278 |
| Mailing Telephone | 5417686833 |
| Mailing Fax Number | 5417685278 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | MRS. MIALEE WOMACK (SOCIAL WORKER) |
| Authorized Official Telephone | 5417686833 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | L3743 | OR | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487675559 | Good Samaritan Regional Medical Center | Clinic/Center | 10 E Spruce St, Frackville, PA 17931-2418 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN REGIONAL MEDICAL CENTER | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN REGIONAL MEDICAL CENTER | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN REGIONAL MEDICAL CENTER AUXILIARY | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN REGIONAL MEDICAL CENTER BOOKSTORE | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN REGIONAL MEDICAL CENTER HOME HEALTH | Attn: Doug Boysen, 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
3509 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440323 | Michael V. Delollis | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2005-07-13 |
| 1639715436 | Sara M James | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2019-11-27 |
| 1619428950 | Katharine Middendorf | Psychologist | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2016-10-21 |
| 1104272871 | Luiza Gabriela Marinescu | Nurse Practitioner | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2016-05-11 |
| 1942613039 | Kari Kishin Lindahl Hart | Social Worker | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2014-06-05 |
| 1861830069 | Blaine Allen King | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2013-06-10 |
| 1922369578 | Mialee Womack | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2012-05-30 |
| 1730414418 | Tara Nierenberg | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2009-10-13 |
| 1760612519 | Samaritan Health Services | Psychiatric Unit | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2009-07-14 |
| 1558590703 | Mandilin Gordon Hudson | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1093922890 | Good Samirtan Regional Medical Center | Psychiatric Hospital | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992181747 | Oregon State Hospital | Psychiatric Hospital | 2600 Center St Ne, Salem, OR 97301-2669 | 2015-08-04 |
| 1831583798 | Oregon Health Authority, Directors Office, Financial Services | Psychiatric Hospital | 29398 Recovery Way, Junction City, OR 97448-8442 | 2015-03-27 |
| 1245584572 | Options for Southern Oregon | Psychiatric Hospital | 320 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2012-11-08 |
| 1073817714 | Tuality Healthcare | Psychiatric Hospital | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2011-01-10 |
| 1528231826 | Ubh of Oregon, LLC | Psychiatric Hospital | 10300 Sw Eastridge St, Beaverton, OR 97225 | 2008-04-08 |
| 1124135520 | Peter Paul Hauser | Psychiatric Hospital | 3710 Sw Us Veterans Hospital Rd, P3mhadm, Portland, OR 97239-2964 | 2006-08-23 |
| 1003830498 | Va Roseburg Healthcare System | Psychiatric Hospital | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-07-27 |
| 1962438747 | Dhs Office of Financial Services Irs Eopc Bmrc Eotc Osh Osh-p | Psychiatric Hospital | 2600 Westgate, Pendleton, OR 97801-9604 | 2006-06-24 |
| 1508802489 | Dhs Office of Financial Services Irs Eopc Bmrc Eotc Osh Osh-p | Psychiatric Hospital | 2600 Center St Ne, Salem, OR 97301-2669 | 2006-06-21 |
| 1699710970 | Dhs Office of Financial Services Irs Eopc Bmrc Eotc Osh Osh-p | Psychiatric Hospital | 1121 Ne 2nd Ave, Portland, OR 97232-2043 | 2006-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOOD SAMARITAN REGIONAL MEDICAL CENTER.
| 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.