SAMARITAN HEALTH SERVICES NPI 1114469103

NPI Information

NPI: 1114469103
Provider Name: SAMARITAN HEALTH SERVICES
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
CLIA Number: 38D2192425
Address: 620 ELM ST SW # 2
ALBANY, OR
ZIP 97321
Phone: (541) 812-4839

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NPI Details

SAMARITAN HEALTH SERVICES is a health service clinic center in Albany, OR. SAMARITAN HEALTH SERVICES NPI is 1114469103. The provider is registered as an organization entity type.

The provider's business location address is:

620 ELM ST SW # 2
ALBANY, OR
ZIP 97321-986
Phone: (541) 812-4839

The provider's authorized official is Jonathan Douglas Wymore .
The authorized official title is Registered Dietitian and has the following contact phone number (541) 232-9615.

The CLIA number assigned to this NPI record is 38D2192425 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/8/2016.

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	282N00000X	General Acute Care Hospital				No
2	261QH0100X	Clinic/Center	Health Service			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	86065504	OTHER		COMMISION ON DIETETIC REGISTRATION
2	LDD10175002	OTHER	OREGON	OREGON DIETETIC LICENSURE

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: 11/21/2025

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