SAMARITAN PACIFIC HEALTH SERVICES INC. NPI 1558531764

NPI Information

NPI: 1558531764
Provider Name: SAMARITAN PACIFIC HEALTH SERVICES, INC.

Doing Business As: SAMARITAN MEDICAL SUPPLIES- CORVALLIS

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
815 NW 9TH ST STE 102
CORVALLIS, OR
ZIP 97330
Phone: (800) 753-6030
Get Directions

SAMARITAN PACIFIC HEALTH SERVICES, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Corvallis, OR. SAMARITAN PACIFIC HEALTH SERVICES, INC. NPI is 1558531764. The provider is registered as an organization entity type.
The provider Is Doing Business As Samaritan Medical Supplies- Corvallis.

The provider's business location address is:

815 NW 9TH ST STE 102
CORVALLIS, OR
ZIP 97330-173
Phone: (800) 753-6030

The provider's authorized official is Lesley J. Ogden .
The authorized official title is Ceo and has the following contact phone number (541) 557-6411.

The CLIA number assigned to this NPI record is 38D2140478 - other - occ medicine clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 3/22/2023.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500615038	MEDICAID	OREGON
2	NPC-0003035	OTHER	OREGON	OREGON BOARD OF PHARMACY

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: 4/28/2024

NPI Synchronization or Removal

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