BENTON COUNTY (NPI# 1093997710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093997710 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | BENTON COUNTY HEALTH SERVICES |
| Practice Address |
100 Mullins Dr Ste A1 Lebanon OR 97355-2868 |
| Mailing Address |
Po Box 579 Corvallis OR 97339-0579 |
| Practice Telephone | 5414516920 |
| Practice Fax Number | 5414516924 |
| Mailing Telephone | 5417666835 |
| Mailing Fax Number | 5417666186 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MRS. SHERLYN DAHL (HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 5417662131 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGENCE BCBS | 700228501 | 01 | |
| OR | 227701 | 05 | |
| REGENCE BCBS | 03932800 | 01 |
| Other Name | Type Code |
|---|---|
| Benton County Health Services | Doing Business As Name - Organization |
| East Linn Health Center | Doing Business As Name - Organization |
| East Linn Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1174697148 | Benton County | Case Management | 531 Dewey St, Foley, MN 56329-8413 | 2006-11-20 |
| 1801278015 | Benton County | Clinic/Center | 799 Long St, Sweet Home, OR 97386-3304 | 2015-06-24 |
| 1588046791 | Benton County | Clinic/Center | 435 E Alder St, Alsea, OR 97324-9634 | 2015-06-24 |
| 1689086381 | Benton County | Pharmacy | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2014-05-29 |
| 1497055925 | Benton County | Case Management | 530 Nw 27th St, Corvallis, OR 97330 | 2010-11-01 |
| 1861719015 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2010-04-28 |
| 1275752420 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2007-04-25 |
| 1982764882 | Benton County | Clinic/Center | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENTON COUNTY | 215 E Central Ave Rm 101, Bentonville, AR 72712-5395 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY 4-H ASSOCIATION | 4077 Sw Research Way, Corvallis, OR 97333 |
| System for Award Management (SAM) Entities | BENTON COUNTY ADMINISTRATOR'S OFFICE, THE | 531 Dewey St, Foley, MN 56329-8413 |
| Iowa Business Entities | BENTON COUNTY ARCHERS, LTD. | Po Box 332, Van Horne, IA 52346 |
| System for Award Management (SAM) Entities | BENTON COUNTY AUDITORS OFFICE | 620 Market St, Prosser, WA 99350-1610 |
| System for Award Management (SAM) Entities | BENTON COUNTY BOARD OF EDUCATION | 197 Briarwood St, Camden, TN 38320-1381 |
| Iowa Business Entities | BENTON COUNTY CATTLEMENS ASSOCIATION | Po Box 36, Shellsburg, IA 52332 |
| Washington State Corporations | BENTON COUNTY COMMAND STAFF GUILD | 1104 Main St Ste 214, Vancouver, WA 98660-2973 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY COMMUNITY RIGHTS CAMPAIGN | 6910 Sw Plymouth Drive, Corvallis, OR 97333 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY COMMUNITY RIGHTS COALITION | 505 S 17th St, Philomath, OR 97370 |
| Street Address |
100 MULLINS DR STE A1 |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469765 | Denise Christine Kelley | Family Medicine | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2005-07-01 |
| 1750911525 | Reeta Fay Hill | Registered Nurse | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2020-01-21 |
| 1851937007 | Monica Jean Paden | Technician | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2019-11-22 |
| 1477016855 | Lori Newport | Technician | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2019-04-11 |
| 1982170742 | Kathryn C Finley | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2018-10-19 |
| 1437634573 | Martha E La Rosa Snyder Chavez | Physician Assistant | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2018-09-25 |
| 1649607102 | Theo Ray Orchard IIi | Physician Assistant | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919272 | Cumberland Family Medical Center, Inc. | Clinic/Center | 311 W High Street, Lebanon, KY 40033-1427 | 2019-12-13 |
| 1275192031 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1155 Hwy 327, Lebanon, KY 40033-9297 | 2019-06-06 |
| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1437718293 | Cumberland Family Medical Center, Inc. | Clinic/Center | 735 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1164081923 | Cumberland Family Medical Center, Inc. | Clinic/Center | 3345 Highway 208, Lebanon, KY 40033-9487 | 2019-06-06 |
| 1154980902 | Cumberland Family Medical Center, Inc. | Clinic/Center | 420 W Main St, Lebanon, KY 40033-1363 | 2019-06-06 |
| 1316506165 | Cumberland Family Medical Center, Inc. | Clinic/Center | 773 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1083273841 | Cumberland Family Medical Center, Inc. | Clinic/Center | 200 Corporate Dr, Lebanon, KY 40033-1708 | 2019-06-06 |
| 1851890107 | Aspire Indiana Health Inc | Clinic/Center | 1600 W Main St, Lebanon, IN 46052-2388 | 2018-02-01 |
| 1689045981 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2015-10-13 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.