NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK (NPI# 1568808285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568808285 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Other Organization Name | ADVENTIST HEALTH MANZANITA REHAB SERVICES |
| Practice Address |
36155 9th St Room 4 Nehalem OR 97131-8000 |
| Mailing Address |
1000 3rd St Tillamook OR 97141-3430 |
| Practice Telephone | 5038424444 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MS. GINA F SEUFERT (VP, PHYSICIAN & CLINIC SERVICES) |
| Authorized Official Telephone | 5038152414 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
141177 | OR | Hospitals |
| Other Name | Type Code |
|---|---|
| Adventist Health Manzanita Rehab Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| 1053873919 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2019-04-01 |
| 1043740616 | Northwest Medical Foundation of Tillamook | Clinic/Center | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2017-06-15 |
| 1861944894 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 24461 E Welches Rd, Welches, OR 97067-7067 | 2016-10-25 |
| 1699146159 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-10-09 |
| 1881071645 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 980 3rd St, Suite 100, Tillamook, OR 97141-9469 | 2015-04-30 |
| 1578961835 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2014-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | 1000 3rd St, Tillamook, OR 97141 |
| Street Address |
36155 9TH ST ROOM 4 |
| City | NEHALEM |
| State | OR |
| Zip Code | 97131-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427447556 | Laura Caudle | Physical Therapist | 36155 9th St, Nehalem, OR 97131-8000 | 2015-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386929883 | Chaka J. Bloodsaw I | Mechanotherapist | 36450 N. Fork Rd., Nehalem, OR 97131 | 2011-10-15 |
| 1134438039 | Jennifer T Childress | Midwife | 40660 Northfork Rd, Nehalem, OR 97131-9511 | 2010-09-27 |
| 1588090856 | Mackenzie Anne Champ | Acupuncturist | 35890 Highway 101 N, Nehalem, OR 97131-9599 | 2013-09-18 |
| 1811312945 | Nourish Natural Family Medicine | Acupuncturist | 35890 Highway 101 N, Nehalem, OR 97131-9599 | 2014-02-26 |
| 1780789503 | Sirona LLC | Occupational Therapy Assistant | 37315 3rd St, Nehalem, OR 97131-9634 | 2006-09-14 |
| 1013010693 | Rachel Maureen Frank | Occupational Therapist | 37315 3rd Street, Nehalem, OR 97131-9634 | 2006-09-07 |
| 1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
| 1659817351 | Sheila Kathleen Moran | Acupuncturist | 34065 Wood Duck Ave, Nehalem, OR 97131-9760 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
| 1659817351 | Sheila Kathleen Moran | Acupuncturist | 34065 Wood Duck Ave, Nehalem, OR 97131-9760 | 2017-01-18 |
| 1588090856 | Mackenzie Anne Champ | Acupuncturist | 35890 Highway 101 N, Nehalem, OR 97131-9599 | 2013-09-18 |
| 1386929883 | Chaka J. Bloodsaw I | Mechanotherapist | 36450 N. Fork Rd., Nehalem, OR 97131 | 2011-10-15 |
| 1134438039 | Jennifer T Childress | Midwife | 40660 Northfork Rd, Nehalem, OR 97131-9511 | 2010-09-27 |
| 1780789503 | Sirona LLC | Occupational Therapy Assistant | 37315 3rd St, Nehalem, OR 97131-9634 | 2006-09-14 |
| 1013010693 | Rachel Maureen Frank | Occupational Therapist | 37315 3rd Street, Nehalem, OR 97131-9634 | 2006-09-07 |
| 1811312945 | Nourish Natural Family Medicine | Acupuncturist | 35890 Highway 101 N, Nehalem, OR 97131-9599 | 2014-02-26 |
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
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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.