NPIMap

Organization Active NPI

Mid-Valley Healthcare, Inc.

Doing business as Samaritan Family Medicine-Brownsville

  • Rural Health Clinic/Center
  • Brownsville, OR
National Provider Identifier
1073879227
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MID-VALLEY HEALTHCARE, INC.
Doing business as
Samaritan Family Medicine-Brownsville
Practice address
157 Spaulding Avenue
Brownsville, OR 97327
Phone
(541) 451-6940
NPI assigned
Apr 2, 2012
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Cahill
Title
Ceo
Phone
(541) 451-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

157 Spaulding Avenue
Brownsville, OR 97327

Mailing address

157 Spaulding Avenue
PO Box 160
Brownsville, OR 97327
Phone (541) 451-6940

Other identifiers 1

IdentifierTypeStateIssuer
500651480MedicaidOR

Other names 1

  • Samaritan Family Medicine-Brownsville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031111000297 OR Part B Supplier - Clinic/Group Practice 2769391523 Receives reassigned benefits from 458 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR; Newport, OR; Halsey, OR; Brownsville, OR
O20061104000140 OR Part A Provider - Critical Access Hospital 2769391523 Receives reassigned benefits from 421 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR
O20180419001447 OR Part A Provider - Rural Health Clinic 2769391523 Practice locations: Brownsville, OR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1073879227. Details of each certification follow.

Hospital certification: CCN 381323

Legal name
MID-VALLEY HEALTHCARE INC
Doing business as
SAMARITAN LEBANON COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2005
Last certification
Jun 8, 2006
Beds
49 (25 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1950 in OR
Enrollment address
525 N Santiam Hwy
Lebanon, OR 97355-4363
Other Hospital Practice Location

Rural health clinic certification: CCN 388539

Legal name
MID-VALLEY HEALTHCARE INC
Doing business as
SAMARITAN FAMILY MEDICINE - BROWNSVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 2, 2018
Last certification
Jun 11, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1950 in OR
Enrollment address
157 Spaulding Ave
Brownsville, OR 97327-0160
Related CCNs
381323

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 15

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan Lebanon Community HospitalCCN 381323 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0954716Samaritan Family Medicine - Brownsville157 Spaulding Ave, Brownsville, OR 97327Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Adams Individual Corporate DirectorSecretary Jan 1, 2016
Corporate DirectorBoard of Director Jan 1, 2016
Rachel Hankins Individual Corporate DirectorBoard Member Oct 9, 2018
Samaritan Health Services Inc. Organization, Corvallis, OR Non-profit Operational/Managerial Control Jan 1, 1997 100%
Richard C Evans Individual Corporate DirectorGM Chair Jan 1, 2021
Corporate DirectorBoard of Directors Jan 1, 2018
Marsha Philpott Individual Corporate DirectorBoard Member Jan 1, 2015
Corporate Director Jan 1, 2015
Mirabelle Fernandes Paul Individual Corporate DirectorBoard Member Jan 1, 2025
Loren Roth Individual Corporate DirectorTreasurer Jan 1, 2015
Corporate DirectorBoard of Director Jan 1, 2015
Joseph Cahill Individual Corporate OfficerCeo Dec 15, 2015 100%
W-2 Managing Employee Dec 15, 2015
Corporate OfficerCeo Dec 31, 2008 100%
W-2 Managing EmployeeCeo Jun 1, 2008
Andrew Wimer Individual Corporate DirectorBoard Member Jun 25, 2024
Vanessa R Papalazaros Individual Corporate Director Jan 1, 2025
Wendie Wunderwald Individual Corporate DirectorBoard Member Jan 1, 2025
Jennifer Kimberlain Individual Corporate OfficerCeo/Administrator - SLCH Mar 9, 2026
W-2 Managing EmployeeAd; Mar 9, 2026
Operational/Managerial ControlCeo/Administrator - SLCH Mar 9, 2026
Corporate DirectorCeo/Administrator - SLCH Mar 9, 2026
Richard C Wopat Individual Corporate DirectorBoard Member Jan 1, 2021
Linn Armstrong Individual Corporate DirectorBoard Member Jan 1, 2016
Corporate DirectorBoard of Director Jan 1, 2016
Randy Springer Individual Corporate DirectorPresident Jan 1, 2017
Corporate DirectorBoard of Director Jan 1, 2017
Brent Kauffman Individual Corporate DirectorBoard Member Jan 1, 2017
Corporate DirectorBoard of Director Jan 1, 2017
Paula M Crone Individual Corporate DirectorBoard Member Dec 11, 2018
Daniel Burton Smith Individual Corporate OfficerVice President Finance/Cfo Apr 24, 2003
Corporate OfficerVice President Finance/Cfo Jan 1, 2000 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

Affiliated clinicians 430

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1073879227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SPAULDING AVENUE",
            "address_2": "PO BOX 160",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "97327",
            "telephone_number": "541-451-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SPAULDING AVENUE",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "97327",
            "telephone_number": "541-451-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-451-7914"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500651480",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Family Medicine-Brownsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Family Medicine-Brownsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, OR

Sources for this page

Verify at the official NPI Registry.