SAMARITAN NORTH LINCOLN HOSPITAL (NPI# 1255489670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255489670 |
| Entity Type | Organization |
| Organization Name | SAMARITAN NORTH LINCOLN HOSPITAL |
| Other Organization Name | SAMARITAN NORTH LINCOLN HOSPICE |
| Practice Address |
3011 Ne 28th Street Lincoln City OR 97367-4524 |
| Practice Telephone | 5419967328 |
| Practice Fax Number | 5419967397 |
| Mailing Telephone | 5419967328 |
| Mailing Fax Number | 5419967397 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | LESLEY J. OGDEN (CEO) |
| Authorized Official Telephone | 5419967100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 16-1049 | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 131958 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan North Lincoln Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942698154 | Samaritan North Lincoln Hospital | Preventive Medicine | 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 | 2014-12-23 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1679927636 | Samaritan North Lincoln Hospital | Urology | 3100 Ne 28th St Ste B, Lincoln City, OR 97367-4524 | 2016-04-15 |
| 1699130757 | Samaritan North Lincoln Hospital | Podiatrist | 3011 Ne West Devils Lake Rd, Lincoln City, OR 97367-5131 | 2015-12-16 |
| 1841554177 | Samaritan North Lincoln Hospital | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2012-07-02 |
| 1629338868 | Samaritan North Lincoln Hospital | Internal Medicine | 3100 Ne 28th St, Suite D1, Lincoln City, OR 97367-4524 | 2012-05-22 |
| 1245599224 | Samaritan North Lincoln Hospital | Internal Medicine | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367 | 2012-05-10 |
| 1417214388 | Samaritan North Lincoln Hospital | Surgery | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2012-04-17 |
| 1902163827 | Samaritan North Lincoln Hospital | Otolaryngology | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2012-04-17 |
| 1033475298 | Samaritan North Lincoln Hospital | Internal Medicine | 2930 Ne West Devils Lake Rd, Suite 3, Lincoln City, OR 97367-5195 | 2012-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN NORTH LINCOLN HOSPITAL | 3043 Ne 28th St, Lincoln City, OR 97367-4518 |
| Oregon Corporations, Companies and Business Names | SAMARITAN NORTH LINCOLN HOSPITAL | 3043 Ne 28th St, Lincoln City, OR 97367 |
| Street Address |
3011 NE 28TH STREET |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134277528 | Samaritan Pacific Health Services, Inc. | Hospice, Inpatient | 749 Sw 11th Street, Newport, OR 97365 | 2007-01-08 |
| 1861413452 | Legacy Visiting Nurse Association | Hospice, Inpatient | 815 Ne Davis St, Portland, OR 97232-2964 | 2006-07-21 |
| 1174671044 | Albany General Hospital | Hospice, Inpatient | 4600 Evergreen Place Se, Albany, OR 97322-6182 | 2007-01-08 |
| City | LINCOLN CITY |
| Zip Code | 97367 |
Please comment or provide details below to improve the information on SAMARITAN NORTH LINCOLN HOSPITAL.
| 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.