NPIMap

Organization Active NPI

Mid-Valley Healthcare, Inc.

Doing business as Samaritan Occupational Medicine - Brownsville

  • Internal Medicine Physician
  • Halsey, OR
National Provider Identifier
1083067847
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MID-VALLEY HEALTHCARE, INC.
Doing business as
Samaritan Occupational Medicine - Brownsville
Practice address
33184 Highway 228
Halsey, OR 97348-9717
Phone
(541) 451-7873
NPI assigned
Jul 18, 2016
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Cahill Joseph
Title
Ceo
Phone
(541) 557-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

33184 Highway 228
Halsey, OR 97348-9717

Mailing address

33184 Highway 228
Halsey, OR 97348-9717
Phone (541) 451-7873

Other identifiers 1

IdentifierTypeStateIssuer
500748451MedicaidOR

Other names 1

  • Samaritan Occupational Medicine - Brownsville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 27

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

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Lebanon Comm Hosp Lab12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1083067847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33184 HIGHWAY 228",
            "city": "HALSEY",
            "state": "OR",
            "postal_code": "973489717",
            "telephone_number": "541-451-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33184 HIGHWAY 228",
            "city": "HALSEY",
            "state": "OR",
            "postal_code": "973489717",
            "telephone_number": "541-451-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CAHILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-557-6441"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500748451",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Occupational Medicine - Brownsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Halsey, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.