SAMARITAN PACIFIC HEALTH SERVICES, INC. (NPI# 1558531764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558531764 |
| Entity Type | Organization |
| Organization Name | SAMARITAN PACIFIC HEALTH SERVICES, INC. |
| Other Organization Name | SAMARITAN MEDICAL SUPPLIES- CORVALLIS |
| Practice Address |
777 Nw 9th St Ste 200 Corvallis OR 97330-6169 |
| Mailing Address |
Po Box 459 Lebanon OR 97355-0459 |
| Practice Telephone | 5417687500 |
| Mailing Telephone | 5417687500 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | MR. DAVID C. BIGELOW III (CEO) |
| Authorized Official Telephone | 5415741801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON BOARD OF PHARMACY | NPC-0003035 | 01 |
| OR | 500615038 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Medical Supplies- Corvallis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912257460 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 531 Nw Hwy 101, Suite A, Depoe Bay, OR 97341-9801 | 2012-09-12 |
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1386814598 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 325 Industrial Way, Lebanon, OR 97355-2852 | 2008-03-04 |
| 1457402232 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 705 Sw Coast Hwy, Newport, OR 97365-5017 | 2007-01-16 |
| 1134277528 | Samaritan Pacific Health Services, Inc. | Hospice, Inpatient | 749 Sw 11th Street, Newport, OR 97365 | 2007-01-08 |
| 1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
| 1134692296 | Samaritan Pacific Health Services, Inc. | Neurological Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2019-01-10 |
| 1407325871 | Samaritan Pacific Health Services, Inc. | Urology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2018-11-15 |
| 1336574912 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 775 Sw 9th St Ste B, Newport, OR 97365-4850 | 2013-09-13 |
| 1164863536 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 199 W Highway 20, Room 1, Toledo, OR 97391-1242 | 2013-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAMARITAN PACIFIC HEALTH SERVICES, INC. | 930 Sw Abbey St, Newport, OR 97365 |
| Street Address |
777 NW 9TH ST STE 200 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124346853 | 2nd Wind Sleep Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd, Ste. 101, Corvallis, OR 97330-3899 | 2010-05-05 |
| 1457797128 | 2nd Wind Sleep, Inc | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd, Ste. 101, Corvallis, OR 97330-3871 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817802 | Northwest Medical LLC | Durable Medical Equipment & Medical Supplies | 17933 Nw Evergreen Pl Ste 270, Beaverton, OR 97006-7532 | 2020-10-05 |
| 1790326882 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 | 2019-10-01 |
| 1649822636 | Todays Dme, Inc | Durable Medical Equipment & Medical Supplies | 1312 Redwood Ave, Grants Pass, OR 97527-5520 | 2019-07-10 |
| 1679070908 | Edm Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 2859 22nd St Se, Salem, OR 97302-1554 | 2018-04-12 |
| 1952761710 | Goose Lake Medical Services Inc | Durable Medical Equipment & Medical Supplies | 16 N F St, Lakeview, OR 97630-1528 | 2016-03-07 |
| 1437597978 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2685 Commercial St Ne, Salem, OR 97301-6502 | 2013-06-06 |
| 1578908034 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 700 Bellevue St Se Ste. 120, Salem, OR 97301-3819 | 2013-05-09 |
| 1225473051 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 133 Ne Dunn Pl, Mcminnville, OR 97128-9081 | 2013-05-07 |
| 1235497710 | Lifestyle Hospice Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | 2012-05-02 |
| 1013291657 | Stateserv Medical of Oregon, LLC | Durable Medical Equipment & Medical Supplies | 26100 Sw 95th Ave, Suite 200, Wilsonville, OR 97070 | 2011-09-30 |
| Find all providers with the same taxonomy | ||||
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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.