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MID-VALLEY HEALTHCARE INC NPI 1205341617


NPI Information

NPI: 1205341617
Provider Name: MID-VALLEY HEALTHCARE INC

Doing Business As: SAMARITAN TREATMENT AND RECOVERY SERVICES

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 38D2186922

Address:
111 N MAIN ST STE A
LEBANON, OR
ZIP 97355
Phone: (541) 451-6388
Get Directions

MID-VALLEY HEALTHCARE INC is an addiction medicine internal medicine in Lebanon, OR. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MID-VALLEY HEALTHCARE INC NPI is 1205341617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Treatment And Recovery Services.

The provider's business location address is:

111 N MAIN ST STE A
LEBANON, OR
ZIP 97355-869
Phone: (541) 451-6388

The provider's authorized official is Joseph M Cahill .
The authorized official title is Ceo and has the following contact phone number (541) 451-7914.

The CLIA number assigned to this NPI record is 38D2186922 - other - outpatient & residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 6/24/2020.


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
1207RA0401XInternal MedicineAddiction MedicineYes

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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