SAMARITAN HEALTH SERVICES (NPI# 1760612519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760612519 |
Entity Type | Organization |
Organization Name | SAMARITAN HEALTH SERVICES |
Practice Address |
3509 Nw Samaritan Dr Corvallis OR 97330-3766 |
Practice Telephone | 5417685235 |
Practice Fax Number | 5417685201 |
Mailing Telephone | 5417685235 |
Mailing Fax Number | 5417685201 |
Enumeration Date | 2009-07-14 |
Last Update Date | 2009-07-14 |
Authorized Official Name | DR. MATTHEW HENRY NEWTON (RESIDENT PSYCHIATRIST) |
Authorized Official Telephone | 5417684914 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | LL18239 | OR | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114469103 | Samaritan Health Services | General Acute Care Hospital | 620 Elm St Sw # 2, Albany, OR 97321-1986 | 2016-11-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SAMARITAN HEALTH SERVICES | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
Oregon Corporations, Companies and Business Names | SAMARITAN HEALTH SERVICES MOBILE PET/CT | 400 Hickory St Nw, Albany, OR 97321 |
Oregon Corporations, Companies and Business Names | SAMARITAN HEALTH SERVICES, INC. | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
Oklahoma Business Registrations | SAMARITAN HEALTH SERVICES, L.L.C. | 7301 N Broadway #120, Okc, OK 73126 |
Street Address |
3509 NW SAMARITAN DR |
City | CORVALLIS |
State | OR |
Zip Code | 97330-3766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366440323 | Michael V. Delollis | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2005-07-13 |
1639715436 | Sara M James | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2019-11-27 |
1619428950 | Katharine Middendorf | Psychologist | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2016-10-21 |
1104272871 | Luiza Gabriela Marinescu | Nurse Practitioner | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2016-05-11 |
1942613039 | Kari Kishin Lindahl Hart | Social Worker | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2014-06-05 |
1861830069 | Blaine Allen King | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2013-06-10 |
1922369578 | Mialee Womack | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2012-05-30 |
1730414418 | Tara Nierenberg | Social Worker | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2009-10-13 |
1558590703 | Mandilin Gordon Hudson | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2009-07-09 |
1356589303 | Tania R May | Nurse Practitioner | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2009-01-29 |
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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 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790904225 | Good Samaritan Hospital Corvallis | Psychiatric Unit | 3509 Nw Samaritan Drive Suite 100, Corvallis, OR 97330-3766 | 2007-04-24 |
1962453134 | Good Samaritan Hospital Corvallis | Psychiatric Unit | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245773225 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2016-11-23 |
1659751360 | Providence Health & Services Oregon | Psychiatric Unit | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-06-08 |
1164811972 | Providence Health & Services Oregon | Psychiatric Unit | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2015-01-16 |
1699019216 | Willamette Valley Medical Center LLC | Psychiatric Unit | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2012-11-20 |
1811038367 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-09 |
1023194271 | Providence Health & Services - Oregon | Psychiatric Unit | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2006-10-31 |
1114002128 | Asante | Psychiatric Unit | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-10-26 |
1164507695 | Portland Veterans Affairs Medical Center | Psychiatric Unit | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-10-25 |
1457454928 | Peacehealth | Psychiatric Unit | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-09-07 |
1003822487 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-31 |
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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.