GOOD SAMARITAN HOSPITAL CORVALLIS (NPI# 1790904225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790904225 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Other Organization Name | GOOD SAMARITAN REGIONAL MEDICAL CENTER-INPATIENT MENTAL HEALTH |
| Practice Address |
3509 Nw Samaritan Drive Suite 100 Corvallis OR 97330-3766 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685144 |
| Practice Fax Number | 5417685201 |
| Mailing Telephone | 5417685144 |
| Mailing Fax Number | 5417685201 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | BECKY PAPE (COO) |
| Authorized Official Telephone | 5417685009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 14-1074 | OR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 72652 | 05 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Regional Medical Center-Inpatient Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
| 1801130612 | Good Samaritan Hospital Corvallis | Clinic/Center | 501 Nw Elks Dr Ste 200, Corvallis, OR 97330-3757 | 2012-11-16 |
| 1275882102 | Good Samaritan Hospital Corvallis | Obstetrics & Gynecology | 3517 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | 2012-09-06 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1790041549 | Good Samaritan Hospital Corvallis | Internal Medicine | 5234 Philomath Blvd., Suite B, Corvallis, OR 97330-3767 | 2012-04-05 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
3509 NW SAMARITAN DRIVE SUITE 100 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3766 |
| 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 | 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 |
|---|---|---|---|---|
| 1760612519 | Samaritan Health Services | Psychiatric Unit | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2009-07-14 |
| 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 |
| 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.