SANTIAM MEMORIAL HOSPITAL (NPI# 1912413147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912413147 |
| Entity Type | Organization |
| Organization Name | SANTIAM MEMORIAL HOSPITAL |
| Other Organization Name | SANTIAM PODIATRY CLINIC |
| Practice Address |
1369 N 10th Ave Stayton OR 97383 |
| Mailing Address |
1369 N 10th Ave Stayton OR 97383-2037 |
| Practice Telephone | 5037697960 |
| Practice Fax Number | 5037692172 |
| Mailing Telephone | 5037697960 |
| Mailing Fax Number | 5037692172 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2019-08-15 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Santiam Podiatry Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 Welch St, Silverton, OR 97381 | 5037697960 | 5037692172 |
| 454 Welch St, Silverton, OR 973811934 | 5037697960 | 5037692172 |
| 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 |
| 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 |
| 1477909570 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave, Ste. 100, Stayton, OR 97383-1486 | 2016-05-06 |
| 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 |
1369 N 10TH AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844022 | Ruben Pollak | Podiatrist | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2005-07-08 |
| 1821433129 | Santiam Memorial Hospital | Orthopaedic Surgery | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2013-05-01 |
| 1023397940 | Christian Lee Spencer | Physician Assistant | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2011-08-09 |
| 1417126434 | Ruben Pollak, Dpm, PC | Podiatrist | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2008-02-24 |
| 1487770483 | Santiam Orthopaedics LLC | Specialist | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2007-03-21 |
| 1942346994 | Nicolas J Stratton | Orthopaedic Surgery | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2007-01-29 |
| 1821134933 | Jessica I Schlump | Physician Assistant | 1369 N 10th Ave, Stayton, OR 97383-2037 | 2007-01-29 |
| 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 |
| 1275049850 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave Ste 200, Stayton, OR 97383 | 2017-12-19 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386070464 | Robert W Geister and Associates Inc | Clinic/Center | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | 2013-09-19 |
| 1649448804 | Eugene Podiatry Associates PC | Clinic/Center | 1060 Chambers St., Eugene, OR 97402 | 2008-02-11 |
| 1508967886 | Medford Foot & Ankle Clinic, PC | Clinic/Center | 713 Golf View Drive, Medford, OR 97504-9643 | 2006-09-26 |
| 1639158611 | Willamette Valley Foot & Ankle Center PC | Clinic/Center | 212 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-01-10 |
| 1659638872 | R Tyson Scott Dpm LLC | Clinic/Center | 800 Liberty St Se, Salem, OR 97302 | 2012-04-12 |
| 1851557607 | Ankle and Foot Clinic of Oregon | Clinic/Center | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2008-07-31 |
| 1093993453 | Lyndon G Johansen Dpm PC | Clinic/Center | 12658 Se Stark St, Portland, OR 97233-1058 | 2008-02-07 |
| 1215122833 | Yama A Dehqanzada Dpm PC | Clinic/Center | 16770 Sw Edy Rd, Suite 216, Sherwood, OR 97140-9678 | 2007-09-06 |
| 1518945922 | Oregon City Foot Clinic, PC | Clinic/Center | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2006-01-05 |
Please comment or provide details below to improve the information on SANTIAM MEMORIAL HOSPITAL.
| 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.