SANTIAM MEMORIAL HOSPITAL NPI 1396131389

NPI Information

NPI: 1396131389
Provider Name: SANTIAM MEMORIAL HOSPITAL

Doing Business As: SANTIAM MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
280 S 1ST AVE
MILL CITY, OR
ZIP 97360
Phone: (503) 897-4100
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SANTIAM MEMORIAL HOSPITAL is a rural health clinic center in Mill City, OR. SANTIAM MEMORIAL HOSPITAL NPI is 1396131389. The provider is registered as an organization entity type.
The provider Is Doing Business As Santiam Medical Clinic.

The provider's business location address is:

280 S 1ST AVE
MILL CITY, OR
ZIP 97360-003
Phone: (503) 897-4100
Fax: (503) 897-2673

The provider's authorized official is Maggie Hudson .
The authorized official title is Coo / Cfo and has the following contact phone number (503) 769-9236.

The CLIA number assigned to this NPI record is 38D0712188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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