SANTIAM MEMORIAL HOSPITAL (NPI# 1477909570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477909570 |
| Entity Type | Organization |
| Organization Name | SANTIAM MEMORIAL HOSPITAL |
| Other Organization Name | SANTIAM MEDICAL ASSOCIATES |
| Practice Address |
1401 N 10th Ave Ste. 100 Stayton OR 97383-1486 |
| Practice Telephone | 5037696386 |
| Practice Fax Number | 5037695647 |
| Mailing Telephone | 5037696386 |
| Mailing Fax Number | 5037695647 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | LYNDA FRASER (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5037699254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Santiam Medical Associates | 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 |
| 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 |
| 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. 100 |
| City | STAYTON |
| State | OR |
| Zip Code | 97383-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302214 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1485 | 2005-11-07 |
| 1427679778 | Lawrence Boone | Specialist/Technologist, Other | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-04-28 |
| 1447883921 | Jeremy Keith Walker | Respiratory Therapist, Registered | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-02-13 |
| 1043861123 | Mary Margaret Gescher | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-20 |
| 1851941058 | Chanelle Maldonado | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-19 |
| 1932759206 | Joni Clancy | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-18 |
| 1548739725 | Tammy Lynette Abell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2018-11-17 |
| 1982154712 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-10-05 |
| 1659720720 | Donald Raymond Turrell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-06-08 |
| 1235587668 | Jamie Elizabeth Robinson | Family Medicine | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-05-26 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171874 | Santiam Memorial Hospital | Clinic/Center | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 | 2015-04-15 |
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|---|---|---|---|---|
| 1770183063 | Praxis Medical Group P.C. | Clinic/Center | 1890 7th St., Umatilla, OR 97882 | 2020-10-27 |
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1477945517 | Morrow County Health District | Clinic/Center | 365 W 3rd St, Ione, OR 97843-7216 | 2015-02-26 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
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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.