MID-VALLEY HEALTHCARE, INC. (NPI# 1518347608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518347608 |
| Entity Type | Organization |
| Organization Name | MID-VALLEY HEALTHCARE, INC. |
| Other Organization Name | SAMARITAN ENDOCRINOLOGY LCH |
| Practice Address |
525 N Santiam Hwy Lebanon OR 97355-4363 |
| Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
| Practice Telephone | 5414516313 |
| Practice Fax Number | 5414516304 |
| Mailing Telephone | 5412582101 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | BECKY A. PAPE (CEO) |
| Authorized Official Telephone | 5417685009 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
14-1453 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500688716 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Endocrinology LCH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1164942611 | Mid-valley Healthcare, Inc. | Pain Medicine | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | 2017-06-26 |
| 1427406248 | Mid-valley Healthcare, Inc. | Family Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-06-02 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1073879227 | Mid-valley Healthcare, Inc. | Clinic/Center | 157 Spaulding Avenue, Brownsville, OR 97327 | 2012-04-02 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| 1003362922 | Mid-valley Healthcare, Inc. | Pain Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2016-08-31 |
| 1083067847 | Mid-valley Healthcare, Inc. | Internal Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-07-18 |
| 1174862304 | Mid-valley Healthcare, Inc. | Urology | 100 Mullins Dr, Suite D-3, Lebanon, OR 97355-2868 | 2013-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MID-VALLEY HEALTHCARE, INC. | 525 N Santiam Hwy, Lebanon, OR 97355 |
| Street Address |
525 N SANTIAM HWY |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
| 1851908909 | Christopher Edward Pokladnik | Pharmacist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2020-09-23 |
| 1225668437 | Rachel Ellen Tyler | Registered Nurse | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2020-01-16 |
| 1487296968 | Kayleigh Mang | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-10-16 |
| 1063076537 | Cheryl Teschner | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-04-30 |
| 1215591011 | Sarah J Madison | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-04-26 |
| 1831655976 | Susan Giglio | Physical Therapist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-02-13 |
| 1801364732 | Katelyn Newkirk | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2018-11-08 |
| 1841708104 | Alexa Leigh Jones | Speech-Language Pathologist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2018-01-19 |
| 1639688500 | Chelan Murasaki | Physical Therapist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2017-09-23 |
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| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225324841 | Amanda Jean Stevens-udeze | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2011-06-22 |
| 1073832564 | Sreenija Suryadevara | Internal Medicine | 1 Medical Center Dr, Dh Endocrinology, Lebanon, NH 03756-1000 | 2010-05-23 |
| 1982921805 | Benjamin Boh | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Endocrinology, Lebanon, NH 03756-1000 | 2010-05-02 |
| 1093964850 | Susan Yuditskaya | Internal Medicine | 1 Medical Center Dr, Dhmc - Endocrinology, Lebanon, NH 03756-1000 | 2008-09-16 |
| 1528226321 | Neha Shardul Gavin | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-05-28 |
| 1194991927 | Tharsan Sivakumar | Internal Medicine | One Medical Center Drive, Lebanon, NH 03756 | 2008-05-01 |
| 1073528758 | Richard J Comi | Internal Medicine | 1 Medical Center Dr, Dhmc - Department of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-30 |
| 1134143969 | John Harvery Turco | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-26 |
| 1609890359 | Paul James Beisswenger | Internal Medicine | 1 Medical Center Dr, Dhmc - Dept of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-26 |
| 1851311948 | William Bernard Kinlaw IIi | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-20 |
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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.