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GOOD SAMARITAN HOSPITAL CORVALLIS NPI 1871859017


NPI Information

NPI: 1871859017
Provider Name: GOOD SAMARITAN HOSPITAL CORVALLIS

Doing Business As: SAMARITAN OBSTETRICS, GYNECOLOGY & MIDWIFERY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 38D0626031

Address:
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5300
Get Directions

GOOD SAMARITAN HOSPITAL CORVALLIS is an obstetrics gynecology in Corvallis, OR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GOOD SAMARITAN HOSPITAL CORVALLIS NPI is 1871859017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Obstetrics, Gynecology & Midwifery.

The provider's business location address is:

3640 NW SAMARITAN DR STE 220
CORVALLIS, OR
ZIP 97330-784
Phone: (541) 768-5300

The provider's authorized official is Laura Hennum .
The authorized official title is Ceo and has the following contact phone number (541) 768-5001.

The CLIA number assigned to this NPI record is 38D0626031 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/23/2024.


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
1207V00000XObstetrics & GynecologyYes

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
1500651472MEDICAIDOREGON

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

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