SANTIAM MEMORIAL HOSPITAL


Address: 280 S First Ave, Mill City, OR 97360
Phone: 5038974100

SANTIAM MEMORIAL HOSPITAL (NPI# 1205048097) 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) 1205048097
Entity Type Organization
Organization Name SANTIAM MEMORIAL HOSPITAL
Other Organization Name SANTIAM MEDICAL CLINIC
Practice Address 280 S First Ave
Mill City
OR 97360
Mailing Address Po Box 47
Mill City
OR 97360-0047
Practice Telephone 5038974100
Practice Fax Number 5038972673
Mailing Telephone 5038974100
Mailing Fax Number 5038972673
Enumeration Date 2007-05-04
Last Update Date 2016-09-28
Authorized Official Name SHANNON R WADDLE (OFFICE MANAGER)
Authorized Official Telephone 5038974100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Santiam Medical Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154302214 Santiam Memorial Hospital General Acute Care Hospital 1401 N 10th Ave, Stayton, OR 97383-1485 2005-11-07
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

Other Data Sources

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

Office Location

Street Address 280 S FIRST AVE
City MILL CITY
State OR
Zip Code 97360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134180714 Cynthia Marion Peticolas Dentist 548 S 1st Ave, Mill City, OR 97360 2006-03-31
1518999184 Thomas A. Vanveen Family Medicine 280 S 1st Ave, Mill City, OR 97360-0003 2006-07-06
1396131389 Santiam Memorial Hospital Clinic/Center 280 S 1st Ave, Mill City, OR 97360-0003 2015-04-07
1588869119 Amy Sutkus Family Medicine 280 S 1st Ave, Mill City, OR 97360-0003 2007-06-15
1639269780 Santiam Canyon School District 129j Local Education Agency (LEA) 150 Sw Evergreen Street, Mill City, OR 97360-0197 2006-10-12
1134451784 Joseph Peter Lulich Nurse Practitioner 280 S 1st Ave, Mill City, OR 97360-2324 2010-02-08
1275708000 Lynn Eleanor-johnson Gower Family Medicine 280 S 1st Ave, Mill City, OR 97360-2324 2008-04-23
1053456392 Krasar Inc Pharmacy 218 Sw Broadway St, Mill City, OR 97360-2411 2007-02-21

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518999184 Thomas A. Vanveen Family Medicine 280 S 1st Ave, Mill City, OR 97360-0003 2006-07-06
1275708000 Lynn Eleanor-johnson Gower Family Medicine 280 S 1st Ave, Mill City, OR 97360-2324 2008-04-23
1588869119 Amy Sutkus Family Medicine 280 S 1st Ave, Mill City, OR 97360-0003 2007-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992306344 Emily Herrmann Family Medicine 1965 Alder St, Eugene, OR 97405-2937 2020-11-03
1366041071 Christina Cabelly Family Medicine 16305 Sw Loon Dr, Beaverton, OR 97007-8989 2020-10-23
1386242790 Rose City Medical Clinic LLC Family Medicine 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 2020-10-16
1346847332 Jasmine Barnhart Family Medicine 1935 Canyon Ave, Medford, OR 97504-2128 2020-10-03
1255949434 Deep Creek Family Medicine Family Medicine 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 2020-07-14
1316569635 Doctors On Video Family Medicine 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 2020-05-08
1710510094 Gresham Family Care Inc Family Medicine 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 2020-02-14
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1083252472 Driven Enterprises PC Family Medicine 20700 Wandalea Dr, Bend, OR 97701-1594 2019-12-16
1891331195 Praxis Medical Group Inc Family Medicine 1426 Oak Street, Eugene, OR 97401-4043 2019-11-21
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City MILL CITY
Zip Code 97360

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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