NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK (NPI# 1871575225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871575225 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Other Organization Name | TILLAMOOK REGIONAL MEDICAL CENTER |
| Practice Address |
1000 3rd St Tillamook OR 97141-3430 |
| Practice Telephone | 5038424444 |
| Practice Fax Number | 5038152330 |
| Mailing Telephone | 5038424444 |
| Mailing Fax Number | 5038152330 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | MR. MICAH SMITH (CFO/ADMINISTRATIVE DIRECTOR OF FINA) |
| Authorized Official Telephone | 5038152263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
141177 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | US DEPT OF LABOR | 194212300 | 01 |
| OR | 005533 | 05 | |
| OR | TRICARE | 0000 | 01 |
| OR | PACIFICSOURCE INS CO. | P037001 | 01 |
| OR | MEDICARE PTAN | 381317 | 01 |
| WA | WASH DEPT OF L & I | 0021657 | 01 |
| WA | 3006400 | 05 | |
| OR | PACC HEALTH PLANS | P057F0 | 01 |
| OR | REGENCE BCBS OREGON | 138007000 | 01 |
| Other Name | Type Code |
|---|---|
| Adventist Health Tillamook | Doing Business As Name - Organization |
| Tillamook Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1053873919 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2019-04-01 |
| 1043740616 | Northwest Medical Foundation of Tillamook | Clinic/Center | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2017-06-15 |
| 1861944894 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 24461 E Welches Rd, Welches, OR 97067-7067 | 2016-10-25 |
| 1699146159 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-10-09 |
| 1881071645 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 980 3rd St, Suite 100, Tillamook, OR 97141-9469 | 2015-04-30 |
| 1578961835 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2014-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | 1000 3rd St, Tillamook, OR 97141 |
| Street Address |
1000 3RD ST |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891151221 | Gregory Steinke | Preventive Medicine | 1000 3rd St, Tillamook, OR 97141-3430 | 2016-01-14 |
| 1790141919 | Brandy Jacob | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2016-01-04 |
| 1972974582 | Christine Blaire | Occupational Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2015-10-08 |
| 1891174405 | Michelle Charlene Turner | Social Worker | 1000 3rd St, Tillamook, OR 97141-3430 | 2015-05-28 |
| 1578961835 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2014-12-18 |
| 1881946549 | Ruben Franco Garcia | Physician Assistant | 1000 3rd St, Tillamook, OR 97141-3430 | 2012-10-04 |
| 1699049049 | Benjamin J Turman | Physician Assistant | 1000 3rd St, Tillamook, OR 97141-3430 | 2012-03-02 |
| 1932472461 | Anne Louise Heiner | Physician Assistant | 1000 3rd St, Tillamook, OR 97141-3430 | 2012-02-14 |
| 1386915445 | Christopher Benjamin | Physician Assistant | 1000 3rd St, Tillamook, OR 97141-3430 | 2012-01-21 |
| 1326350703 | Jennifer Hedden | Family Medicine | 1000 3rd St, Tillamook, OR 97141-3430 | 2010-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146159 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-10-09 |
| 1881071645 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 980 3rd St, Suite 100, Tillamook, OR 97141-9469 | 2015-04-30 |
| 1578961835 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2014-12-18 |
| 1326349416 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1011 3rd St, Tillamook, OR 97141-8292 | 2010-11-05 |
| 1841451853 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1100 3rd St, Tillamook, OR 97141-9469 | 2008-06-23 |
| 1508849407 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-23 |
| 1184607020 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
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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.