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ALBANY GENERAL HOSPTIAL NPI 1861755902


NPI Information

NPI: 1861755902
Provider Name: ALBANY GENERAL HOSPTIAL

Doing Business As: SAMARITAN UROLOGY ALBANY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 38D2044850

Address:
400 HICKORY ST NW STE 200
ALBANY, OR
ZIP 97321
Phone: (541) 812-5800
Get Directions

ALBANY GENERAL HOSPTIAL is an urology in Albany, OR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ALBANY GENERAL HOSPTIAL NPI is 1861755902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Urology Albany.

The provider's business location address is:

400 HICKORY ST NW STE 200
ALBANY, OR
ZIP 97321-700
Phone: (541) 812-5800

The provider's authorized official is David Triebes .
The authorized official title is Ceo and has the following contact phone number (541) 812-4102.

The CLIA number assigned to this NPI record is 38D2044850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 5/2/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

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
15500651934MEDICAIDOREGON

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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