BENTON COUNTY (NPI# 1235299140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235299140 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | BENTON COUNTY HEALTH SERVICES |
| Practice Address |
610 Dragon Dr Monroe OR 97456-9604 |
| Mailing Address |
Po Box 579 Corvallis OR 97339-0579 |
| Practice Telephone | 5418475143 |
| Practice Fax Number | 5418475144 |
| Mailing Telephone | 5418475143 |
| Mailing Fax Number | 5418475144 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | SHERLYN DAHL (HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 5417662131 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGENCE BCBS | 700228501 | 01 | |
| OR | 227701 | 05 | |
| REGENCE BCBS | 039328000 | 01 |
| Other Name | Type Code |
|---|---|
| Benton County Health Services | Doing Business As Name - Organization |
| Benton County Health Services - Monroe Health Center | Other Name - Individual/Organization |
| Monroe Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1174697148 | Benton County | Case Management | 531 Dewey St, Foley, MN 56329-8413 | 2006-11-20 |
| 1801278015 | Benton County | Clinic/Center | 799 Long St, Sweet Home, OR 97386-3304 | 2015-06-24 |
| 1588046791 | Benton County | Clinic/Center | 435 E Alder St, Alsea, OR 97324-9634 | 2015-06-24 |
| 1689086381 | Benton County | Pharmacy | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2014-05-29 |
| 1497055925 | Benton County | Case Management | 530 Nw 27th St, Corvallis, OR 97330 | 2010-11-01 |
| 1861719015 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2010-04-28 |
| 1093997710 | Benton County | Clinic/Center | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2007-12-04 |
| 1275752420 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2007-04-25 |
| 1982764882 | Benton County | Clinic/Center | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENTON COUNTY | 215 E Central Ave Rm 101, Bentonville, AR 72712-5395 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY 4-H ASSOCIATION | 4077 Sw Research Way, Corvallis, OR 97333 |
| Indiana Business Entities | BENTON COUNTY ABSTRACT AND TITLE COMPANY, INC. | C/o S Gregory Howard, 202 North Madison Ave Po 346, Fowler, IN 47944 |
| System for Award Management (SAM) Entities | BENTON COUNTY ADMINISTRATOR'S OFFICE, THE | 531 Dewey St, Foley, MN 56329-8413 |
| Indiana Business Entities | BENTON COUNTY ANGEL FUND LLC | 1110 E Lingle St, Fowler, IN 47944 |
| Iowa Business Entities | BENTON COUNTY ARCHERS, LTD. | Po Box 332, Van Horne, IA 52346 |
| System for Award Management (SAM) Entities | BENTON COUNTY AUDITORS OFFICE | 620 Market St, Prosser, WA 99350-1610 |
| Indiana Business Entities | BENTON COUNTY BASEBALL CLUB, LLC | 8017 Jubilation Lane, West Lafayette, IN 47906 |
| System for Award Management (SAM) Entities | BENTON COUNTY BOARD OF EDUCATION | 197 Briarwood St, Camden, TN 38320-1381 |
| Indiana Business Entities | BENTON COUNTY CANCER ASSN INC | P. O. Box 324, Boswell, IN 47921 |
| Street Address |
610 DRAGON DR |
| City | MONROE |
| State | OR |
| Zip Code | 97456-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594080 | Doninica N Roberts | Registered Nurse | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-10-18 |
| 1548778905 | Gabriella Meza | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-01-18 |
| 1124533161 | Kelsey Rollins | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-12-13 |
| 1982130597 | Carol Ann Shu | Student in an Organized Health Care Education/Training Program | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-05-03 |
| 1659805653 | Daniella Gonzallez Castillo | Nurse's Aide | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-04-17 |
| 1467997221 | Onesimo Torres Giron | Community Health Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-01-03 |
| 1700234671 | Kaci King | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2016-06-01 |
| 1295924009 | Sandra Veronick | Social Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1114225315 | Peter John Cannon | Anesthesiology | 24931 Larson Rd, Monroe, OR 97456-8713 | 2011-03-11 |
| 1790166957 | Elizabeth Williams | Pharmacist | 24614 Williams Rd, Monroe, OR 97456-9437 | 2015-06-13 |
| 1588190193 | Samantha Aldabe | Licensed Practical Nurse | 26889 Reiling Ave, Monroe, OR 97456-9459 | 2017-05-03 |
| 1639389638 | Monroe School District 1j | Local Education Agency (LEA) | 365 N 5th St, Monroe, OR 97456-9506 | 2007-05-22 |
| 1083026884 | Kyle Isaacs | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2014-05-28 |
| 1609076611 | Kathryn Lynn Collins | Counselor | 24282 Bunker Hill Rd, Monroe, OR 97456-9745 | 2007-07-19 |
| 1033593066 | Miles 2 Smiles, LLC | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2015-07-20 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1548724784 | Family Medical Center of Michigan,inc | Clinic/Center | 5003 W Albain Rd Rm 195, Monroe, MI 48161-9558 | 2019-01-22 |
| 1467998831 | Family Medical Center of Michigan, Inc | Clinic/Center | 1135 Riverview Ave, Monroe, MI 48162-3033 | 2017-01-10 |
| 1508049008 | Sea-mar Community Health Center | Clinic/Center | 17707 W Main St, 1st Floor, Monroe, WA 98272-1967 | 2007-12-07 |
| 1023655149 | Family Medical Center of Michigan,inc | Clinic/Center | 901 N Macomb St, Monroe, MI 48162-3088 | 2019-12-09 |
| 1184111668 | Primary Health Services Center | Clinic/Center | 2945 Renwick St, Monroe, LA 71201-8146 | 2018-04-19 |
| 1669833364 | Medlink Georgia Inc | Clinic/Center | 704 Breedlove Dr Ste B, Monroe, GA 30655-2054 | 2016-03-09 |
| 1689032385 | Family Medical Center of Michigan | Clinic/Center | 901 N Macomb St, Monroe, MI 48162-3088 | 2016-02-09 |
| 1316291495 | Primary Health Services Center | Clinic/Center | 2915 Betin Ave, Monroe, LA 71201-7257 | 2012-10-29 |
| Find all providers in MONROE | ||||
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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.