MID-VALLEY HEALTHCARE, INC. (NPI# 1154687309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154687309 |
| Entity Type | Organization |
| Organization Name | MID-VALLEY HEALTHCARE, INC. |
| Other Organization Name | MAIN STREET FAMILY MEDICINE |
| Practice Address |
191 N Main St Lebanon OR 97355-2870 |
| Practice Telephone | 5414517940 |
| Mailing Telephone | 5414517940 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | JOSEPH M CAHILL III (CEO) |
| Authorized Official Telephone | 5414517107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500651455 | 05 |
| Other Name | Type Code |
|---|---|
| Main Street Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1164942611 | Mid-valley Healthcare, Inc. | Pain Medicine | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | 2017-06-26 |
| 1427406248 | Mid-valley Healthcare, Inc. | Family Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-06-02 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1073879227 | Mid-valley Healthcare, Inc. | Clinic/Center | 157 Spaulding Avenue, Brownsville, OR 97327 | 2012-04-02 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| 1003362922 | Mid-valley Healthcare, Inc. | Pain Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2016-08-31 |
| 1083067847 | Mid-valley Healthcare, Inc. | Internal Medicine | 33184 Highway 228, Halsey, OR 97348-9717 | 2016-07-18 |
| 1518347608 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2015-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MID-VALLEY HEALTHCARE, INC. | 525 N Santiam Hwy, Lebanon, OR 97355 |
| Street Address |
191 N MAIN ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013620 | Richard B Halbur | Physician Assistant | 191 N Main St, Lebanon, OR 97355-2870 | 2005-06-20 |
| 1891866513 | Christopher M B Wallis | Physician Assistant | 191 N Main St, Lebanon, OR 97355-2870 | 2006-11-13 |
| 1730115551 | Richard C. Evans | Family Medicine | 191 N Main St, Lebanon, OR 97355-2870 | 2006-06-23 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1235204405 | Elissa Whittenburg Md Pa | Clinic/Center | 1237 Fox Hollow Dr, Lebanon, OH 45036-7846 | 2006-11-22 |
| 1891885273 | Family Health Care Associates | Clinic/Center | 143 West Main Street, Lebanon, VA 24266-4214 | 2006-10-13 |
| 1770675035 | Lester E Cox Medical Centers | Clinic/Center | 510 E Hwy 32, Lebanon, MO 65536 | 2006-09-28 |
| 1225093479 | Merit Medical Rhc Lebanon Inc | Clinic/Center | 360 West Main Street, Lebanon, VA 24266 | 2006-04-19 |
| 1245772664 | Mountain States Health Alliance | Clinic/Center | 71 S Flannagan Ave, Lebanon, VA 24266-3600 | 2016-11-16 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1558709071 | Mercy Hospital Lebanon | Clinic/Center | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9217 | 2013-06-06 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 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.