BENTON COUNTY (NPI# 1801278015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801278015 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | BENTON COUNTY HEALTH SERVICES - SWEET HOME HEALTH CENTER |
| Practice Address |
799 Long St Sweet Home OR 97386-3304 |
| Mailing Address |
Po Box 579 Corvallis OR 97339-0579 |
| Practice Telephone | 5413673888 |
| Practice Fax Number | 5413672407 |
| Mailing Telephone | 5417666190 |
| Mailing Fax Number | 5417666164 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | SHERLYN DAHL (HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 5417662131 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227701 | 05 |
| Other Name | Type Code |
|---|---|
| Benton County Health Services | Doing Business As Name - Organization |
| Benton County Health Services - Sweet Home Health Center | Other Name - Individual/Organization |
| Sweet Home Health Center | Doing Business As Name - Organization |
| Sweet Home Health Center | Other Name - Individual/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 |
| 1588046791 | Benton County | Clinic/Center | 435 E Alder St, Alsea, OR 97324-9634 | 2015-06-24 |
| 1689086381 | Benton County | Pharmacy | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2014-05-29 |
| 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 |
| System for Award Management (SAM) Entities | BENTON COUNTY ADMINISTRATOR'S OFFICE, THE | 531 Dewey St, Foley, MN 56329-8413 |
| 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 |
| System for Award Management (SAM) Entities | BENTON COUNTY BOARD OF EDUCATION | 197 Briarwood St, Camden, TN 38320-1381 |
| Iowa Business Entities | BENTON COUNTY CATTLEMENS ASSOCIATION | Po Box 36, Shellsburg, IA 52332 |
| Washington State Corporations | BENTON COUNTY COMMAND STAFF GUILD | 1104 Main St Ste 214, Vancouver, WA 98660-2973 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY COMMUNITY RIGHTS CAMPAIGN | 6910 Sw Plymouth Drive, Corvallis, OR 97333 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY COMMUNITY RIGHTS COALITION | 505 S 17th St, Philomath, OR 97370 |
| Street Address |
799 LONG ST |
| City | SWEET HOME |
| State | OR |
| Zip Code | 97386-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891705901 | Christopher Elliot Simmons | Social Worker | 799 Long St, Sweet Home, OR 97386 | 2006-08-09 |
| 1538794383 | Priscilla L Mendes | Technician | 799 Long St, Sweet Home, OR 97386-3304 | 2020-03-11 |
| 1063928174 | Kelsey A Wray | Community Health Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2017-12-27 |
| 1962932889 | Sofia B Kannier | Technician | 799 Long St, Sweet Home, OR 97386-3304 | 2017-06-13 |
| 1447510094 | Kristin Holly | Social Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2012-05-16 |
| 1295004133 | Jo Ann Hackworth | Case Manager/Care Coordinator | 799 Long St, Sweet Home, OR 97386-3304 | 2011-12-21 |
| 1245536432 | Susan B Gross | Nurse Practitioner | 799 Long St, Sweet Home, OR 97386-3304 | 2011-02-04 |
| 1891005039 | Tyler Neal | Social Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2010-10-20 |
| 1861602716 | Carla Tadewaldt | Marriage & Family Therapist | 799 Long St, Sweet Home, OR 97386-3304 | 2007-05-22 |
| 1932328937 | Sandra Wiley | Counselor | 799 Long St, Sweet Home, OR 97386-3304 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1912324583 | Muhammad A Qudoos | Pharmacist | 679 Main St, Sweet Home, OR 97386 | 2014-03-21 |
| 1730419441 | Brandy Glynn Davis | Pharmacist | 1540 Main St, Sweet Home, OR 97386 | 2009-12-30 |
| 1770640682 | Dennis M Lynch | Chiropractor | 920 Main St, Sweet Home, OR 97386 | 2007-01-02 |
| 1073954806 | Lifesource,inc | Community/Behavioral Health | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2013-07-09 |
| 1124596879 | Peter Kauffman | Counselor | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2018-11-10 |
| 1568659373 | Lynch Family Chiropractic Clinic PC | Chiropractor | 920 Main St, Sweet Home, OR 97386-1512 | 2007-09-26 |
| 1609919760 | Danca Lenna Inc | Pharmacy | 1023 Main St, Sweet Home, OR 97386-1515 | 2007-02-15 |
| 1053338004 | Twin Oaks Rehab, Inc. | Skilled Nursing Facility | 950 Nandina St, Sweet Home, OR 97386-1522 | 2006-07-16 |
| 1720346638 | Premere Rehab, LLC | Occupational Therapist | 950 Nandina St, Sweet Home, OR 97386-1522 | 2012-04-27 |
| Find all providers in zip 97386 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SWEET HOME |
| Zip Code | 97386 |
Please comment or provide details below to improve the information on BENTON COUNTY.
| 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.