Santiam Memorial Hospital

A Medicare group practice based in Stayton, OR: 26 NPIs enrolled under one PECOS associate control ID (PAC ID 6103729751), with 181 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103729751The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
OR
Enrollments
10
Group size
128 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 4 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20040130000239 OR Part B Supplier - Clinic/Group Practice 1154302214
O20070924000405 OR Part A Provider - Hospital 1336203124
O20050422001024 OR Part A Provider - Hospital 1154302214
O20210218002252 OR Part B Supplier - Pharmacy 1154302214
O20150209000499 OR Part A Provider - Rural Health Clinic 1013302017
O20150209002033 OR Part A Provider - Rural Health Clinic 1790171874
O20150209001065 OR Part A Provider - Rural Health Clinic 1396131389
O20150209001771 OR Part A Provider - Rural Health Clinic 1518354547
O20180328002926 OR Part A Provider - Rural Health Clinic 1477909570
O20180329001584 OR Part A Provider - Rural Health Clinic 1730426040

NPIs in this group 26

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 181

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (154) or whom Care Compare lists as members (128).

Sources for this page