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GOOD SAMARITAN HOSPITAL CORVALLIS NPI 1629247176


NPI Information

NPI: 1629247176
Provider Name: GOOD SAMARITAN HOSPITAL CORVALLIS

Doing Business As: SAMARITAN PEDIATRICS - CIRCLE BLVD.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1112 NW CIRCLE BLVD
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-1221
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GOOD SAMARITAN HOSPITAL CORVALLIS is a pediatrics in Corvallis, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GOOD SAMARITAN HOSPITAL CORVALLIS NPI is 1629247176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Pediatrics - Circle Blvd..

The provider's business location address is:

1112 NW CIRCLE BLVD
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-1221

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

The enumeration date for this NPI number is 2/28/2008 and was last updated on 6/5/2018.


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
1208000000XPediatricsYes

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
1022528MEDICAIDOREGON

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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