BENTON COUNTY (NPI# 1932161361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932161361 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | BENTON COUNTY HEALTH SERVICES |
| Practice Address |
530 Nw 27th St Corvallis OR 97330-5223 |
| Mailing Address |
Po Box 579 Corvallis OR 97339-0579 |
| Practice Telephone | 5417666385 |
| Practice Fax Number | 5417666186 |
| Mailing Telephone | 5417666835 |
| Mailing Fax Number | 5417666186 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-09-30 |
| 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 |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
227701 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGENCE BCBS | 700228501 | 01 | |
| OR | 227701 | 05 | |
| REGENCE BCBS | 039328000 | 01 | |
| OR | OR PHARMACY LICENSE | RP-0002882-CS | 01 |
| OR | 043047 | 05 | |
| OR | NCPDP | 3845053 | 01 |
| OR | LICENSE | RP0002882CS | 01 |
| Other Name | Type Code |
|---|---|
| Benton County Health Services | Doing Business As Name - Organization |
| Benton County Health Services - Benton Health Center | Other Name - Individual/Organization |
| Benton Health Center | 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 |
| 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 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063776441 | Matthew Atkinson | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2012-06-29 |
| 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 |
| 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 | ||||
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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.