SAINT ALPHONSUS MEDICAL CENTER - ONTARIO,INC (NPI# 1700951977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700951977 |
Entity Type | Organization |
Organization Name | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO,INC |
Other Organization Name | TRINITY HOLY ROSARY MEDICAL CENTER |
Practice Address |
351 Sw 9th St Ontario OR 97914-2639 |
Practice Telephone | 5418817373 |
Mailing Telephone | 5418817373 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2018-04-25 |
Authorized Official Name | KENNETH ROBERT HART (PRESIDENT) |
Authorized Official Telephone | 5418817295 |
Is Organization Subpart | Y |
Parent Organization Name | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO,INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 394870 | OR | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 003346500 | 05 | |
OR | 100399 | 05 |
Other Name | Type Code |
---|---|
Trinity Holy Rosary Medical Center | Former Legal Business Name - Organization |
Street Address |
351 SW 9TH ST |
City | ONTARIO |
State | OR |
Zip Code | 97914-2639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
1790209898 | Cep America LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-07-31 |
1821538471 | Lauren Parker | Registered Nurse | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-03-01 |
1588035885 | Monument Emergency Physicians, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-10-13 |
1013385426 | Valerie Lawrence | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-09-02 |
1760872212 | Ellie Nagel | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-02-04 |
1891191599 | Saint Alphonsus Hospital | Rehabilitation Hospital | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-11-07 |
1396164737 | Jay Emergency Physicians LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-04-14 |
1710308804 | Bethany Ericson | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2013-12-17 |
1952741118 | Ontario Emergency Specialists, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2013-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
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Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063857217 | Garland Perry | Medicare Defined Swing Bed Unit | 5985 Trail Ave Ne, Apt 202, Keizer, OR 97303-7567 | 2013-05-01 |
1770514481 | Morrow County Health District | Medicare Defined Swing Bed Unit | 564 E. Pioneer Drive, Heppner, OR 97836 | 2006-07-05 |
1063460095 | Lower Umpqua Hospital District | Medicare Defined Swing Bed Unit | 600 Ranch Road, Reedsport, OR 97467 | 2006-05-04 |
1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
1245237486 | Salem Health West Valley | Medicare Defined Swing Bed Unit | 525 Se Washington St, Dallas, OR 97338-2834 | 2005-07-01 |
1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
1609142595 | Peacehealth | Medicare Defined Swing Bed Unit | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-03-26 |
1902089634 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2007-12-17 |
1053509836 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 470 Ne A Street, Madras, OR 97741-1844 | 2007-10-05 |
1386830727 | Pioneer Memorial Hospital | Medicare Defined Swing Bed Unit | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2007-09-19 |
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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.