SANTIAM MEMORIAL HOSPITAL (NPI# 1275049850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275049850 |
| Entity Type | Organization |
| Organization Name | SANTIAM MEMORIAL HOSPITAL |
| Other Organization Name | SANTIAM PULMONARY CLINIC |
| Practice Address |
1401 N 10th Ave Ste 200 Stayton OR 97383 |
| Mailing Address |
1401 N 10th Ave Ste 200 Stayton OR 97383-1487 |
| Practice Telephone | 5037699455 |
| Practice Fax Number | 5037699316 |
| Mailing Telephone | 5037699455 |
| Mailing Fax Number | 5037699316 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | MAGGIE ANN HUDSON (CFO/COO) |
| Authorized Official Telephone | 5037699236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Santiam Pulmonary Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205048097 | Santiam Memorial Hospital | Family Medicine | 280 S First Ave, Mill City, OR 97360 | 2007-05-04 |
| 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 |
| 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 |
| 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 |
| Street Address |
1401 N 10TH AVE STE 200 |
| City | STAYTON |
| State | OR |
| Zip Code | 97383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478535 | Jeanne L. Fitzpatrick | Family Medicine | 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 | 2006-07-31 |
| 1053960104 | Amanda Leigh Barclay | Physician Assistant | 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 | 2019-09-10 |
| 1053745943 | Benjamin Lee | Internal Medicine | 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 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 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1396152351 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383-2037 | 2014-07-22 |
| 1730426040 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave, Ste 200, Stayton, OR 97383-1311 | 2013-01-07 |
| 1063731271 | Santiam Memorial Hospital | Clinic/Center | 1373 N 10th Ave, Stayton, OR 97383 | 2010-05-27 |
| 1578732640 | Santiam Memorial Hospital | Clinic/Center | 1373 N 10th Ave, Stayton, OR 97383-2037 | 2008-02-22 |
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|---|---|---|---|---|
| 1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
| 1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| 1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
| 1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
| 1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
| 1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
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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.