MID-VALLEY HEALTHCARE INC (NPI# 1205341617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205341617 |
| Entity Type | Organization |
| Organization Name | MID-VALLEY HEALTHCARE INC |
| Other Organization Name | SAMARITAN TREATMENT AND RECOVERY SERVICES |
| Practice Address |
111 N Main St Ste A Lebanon OR 97355-2869 |
| Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
| Practice Telephone | 5414516388 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | JOSEPH M CAHILL III (CEO) |
| Authorized Official Telephone | 5414517914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samaritan Treatment and Recovery Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912940396 | Mid-valley Healthcare Inc | Pain Medicine | 100 Mullins Dr Ste C, Lebanon, OR 97355-3982 | 2006-06-14 |
| 1235292442 | Mid-valley Healthcare Inc | Medicare Defined Swing Bed Unit | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2006-12-18 |
| Street Address |
111 N MAIN ST STE A |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2869 |
| 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 | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948862 | Richard Hindmarsh | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2005-08-09 |
| 1740579176 | David De Gijsel | Internal Medicine | 1 Medical Center Dr, Dhmc Section of Infectious Disease, Lebanon, NH 03756-1000 | 2011-04-06 |
| 1851335913 | Bruce E. Matthews | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953861 | Ortc, LLC | Internal Medicine | 155 Ne Revere Ave Ste 150, Bend, OR 97701-4147 | 2017-10-24 |
| 1619333259 | Bhs Physician Services of Oregon PC | Internal Medicine | 601 Sw 2nd Ave Ste 2100, Portland, OR 97204-3158 | 2016-01-12 |
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1568625788 | William Barbee Mitchell | Internal Medicine | 715 Lincoln St, Eugene, OR 97401-2502 | 2008-07-08 |
| 1932129160 | Robert John Naymik | Internal Medicine | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-07-20 |
| 1134145311 | H Kay Wendlandt | Internal Medicine | 17882 Se Mcloughlin Blvd, Milwaukie, OR 97267-6103 | 2006-07-14 |
| 1619967577 | Vern R Williams | Internal Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2005-10-24 |
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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.