BENTON COUNTY (NPI# 1689086381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689086381 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | BENTON COUNTY HEALTH DEPARTMENT |
| Practice Address |
530 Nw 27th St Corvallis OR 97330-5223 |
| Practice Telephone | 5417666835 |
| Practice Fax Number | 5417660111 |
| Mailing Telephone | 5417666835 |
| Mailing Fax Number | 5417660111 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | STACY RAMIREZ (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5417666835 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | RP0002882 | OR | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
RP0002882CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3845053 | 01 |
| Other Name | Type Code |
|---|---|
| Benton County Health Department | Other Name - Individual/Organization |
| Health Services Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1174697148 | Benton County | Case Management | 531 Dewey St, Foley, MN 56329-8413 | 2006-11-20 |
| 1801278015 | Benton County | Clinic/Center | 799 Long St, Sweet Home, OR 97386-3304 | 2015-06-24 |
| 1588046791 | Benton County | Clinic/Center | 435 E Alder St, Alsea, OR 97324-9634 | 2015-06-24 |
| 1497055925 | Benton County | Case Management | 530 Nw 27th St, Corvallis, OR 97330 | 2010-11-01 |
| 1861719015 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2010-04-28 |
| 1093997710 | Benton County | Clinic/Center | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2007-12-04 |
| 1275752420 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2007-04-25 |
| 1982764882 | Benton County | Clinic/Center | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENTON COUNTY | 215 E Central Ave Rm 101, Bentonville, AR 72712-5395 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY 4-H ASSOCIATION | 4077 Sw Research Way, Corvallis, OR 97333 |
| Indiana Business Entities | BENTON COUNTY ABSTRACT AND TITLE COMPANY, INC. | C/o S Gregory Howard, 202 North Madison Ave Po 346, Fowler, IN 47944 |
| System for Award Management (SAM) Entities | BENTON COUNTY ADMINISTRATOR'S OFFICE, THE | 531 Dewey St, Foley, MN 56329-8413 |
| Indiana Business Entities | BENTON COUNTY ANGEL FUND LLC | 1110 E Lingle St, Fowler, IN 47944 |
| Iowa Business Entities | BENTON COUNTY ARCHERS, LTD. | Po Box 332, Van Horne, IA 52346 |
| System for Award Management (SAM) Entities | BENTON COUNTY AUDITORS OFFICE | 620 Market St, Prosser, WA 99350-1610 |
| Indiana Business Entities | BENTON COUNTY BASEBALL CLUB, LLC | 8017 Jubilation Lane, West Lafayette, IN 47906 |
| System for Award Management (SAM) Entities | BENTON COUNTY BOARD OF EDUCATION | 197 Briarwood St, Camden, TN 38320-1381 |
| Indiana Business Entities | BENTON COUNTY CANCER ASSN INC | P. O. Box 324, Boswell, IN 47921 |
| Street Address |
530 NW 27TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304396 | Kristin Briana Bradford | Family Medicine | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2005-05-31 |
| 1588279624 | Kendall Kramer | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-15 |
| 1578178836 | Tritia Veronica Esquivel | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-14 |
| 1417562828 | Ricardo Angel Sanchez | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-11 |
| 1144835083 | Laura Moran | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-08 |
| 1275141210 | Corinne Anway | Pharmacist | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-07-15 |
| 1841813896 | Tonya Davenport | Technician | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2020-05-26 |
| 1982226940 | Juana Little | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-05-13 |
| 1235750340 | Tashia Monique Crump | Dental Assistant | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-04-29 |
| 1750912606 | Priscilla Park | Student in an Organized Health Care Education/Training Program | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161361 | Benton County | Pharmacy | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1922141415 | Oregon Health and Science University | Pharmacy | 515 Sw Campus Drive, Portland, OR 97239-3098 | 2007-02-14 |
| 1225190408 | Credena Health LLC | Pharmacy | 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 | 2006-12-14 |
| 1578630463 | Good Shepherd Health Care Systems | Pharmacy | 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 | 2006-11-29 |
| 1275548059 | Multnomah County Oregon | Pharmacy | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2006-07-30 |
| 1528073327 | Multnomah County Oregon | Pharmacy | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2006-07-30 |
| 1205841004 | Multnomah County | Pharmacy | 9000 N Lombard St Fl 2, Portland, OR 97203-3006 | 2006-07-30 |
| 1528073319 | Multnomah County | Pharmacy | 5329 Ne Martin L King Fl Jrblvd2, Portland, OR 97211-3237 | 2006-07-30 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1063040186 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 360 S Garden Way Ste 120, Eugene, OR 97401-8173 | 2020-04-01 |
| 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.