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GOOD SAMARITAN HOSPITAL CORVALLIS NPI 1750647905


NPI Information

NPI: 1750647905
Provider Name: GOOD SAMARITAN HOSPITAL CORVALLIS

Doing Business As: SAMARITAN MEDICAL GROUP ORTHOPEDICS - CORVALLIS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3620 NW SAMARITAN DRIVE
SUITE 202
CORVALLIS, OR
ZIP 97333
Phone: (541) 574-4675
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GOOD SAMARITAN HOSPITAL CORVALLIS is a family medicine in Corvallis, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOOD SAMARITAN HOSPITAL CORVALLIS NPI is 1750647905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Medical Group Orthopedics - Corvallis.

The provider's business location address is:

3620 NW SAMARITAN DRIVE
SUITE 202
CORVALLIS, OR
ZIP 97333-042
Phone: (541) 574-4675
Fax: (541) 574-4965

The provider's authorized official is Becky Pape .
The authorized official title is Coo and has the following contact phone number (541) 768-5009.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 11/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine14-1074OREGONYes
2207Q00000XFamily MedicineNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500651475MEDICAIDOREGON

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: 11/14/2023

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