NPIMap

Organization Active NPI

Albany General Hospital

Doing business as Samaritan Heart & Rhythm Center of Albany

  • Internal Medicine Physician
  • Albany, OR
National Provider Identifier
1104182369
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALBANY GENERAL HOSPITAL
Doing business as
Samaritan Heart & Rhythm Center of Albany
Practice address
631 Elm St SW Ste 201
Albany, OR 97321-1952
Phone
(541) 768-5205
NPI assigned
Apr 2, 2012
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Daniel Keteri
Title
Ceo
Phone
(541) 812-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

631 Elm St SW Ste 201
Albany, OR 97321-1952

Mailing address

PO Box 1188
Corvallis, OR 97339-1188
Phone (541) 768-4410

Other names 1

  • Samaritan Heart & Rhythm Center of Albany Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000310 OR Part B Supplier - Clinic/Group Practice 9931097987 Receives reassigned benefits from 473 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, OR
O20050214000492 OR Part A Provider - Hospital 9931097987 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, OR; Corvallis, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104182369. Details of each certification follow.

Hospital certification: CCN 380022

Legal name
ALBANY GENERAL HOSPITAL
Doing business as
SAMARITAN ALBANY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 7, 2010
Beds
79
Ownership / control type
Church
Most recent change of ownership
Jan 1, 2000 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 1925 in OR
Enrollment address
1046 6TH Ave SW
Albany, OR 97321-1916
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 33

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

View all 33

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan Albany General HospitalCCN 380022 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Thomas Miceli31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
John R Ward Individual Corporate DirectorBoard of Director Jan 1, 2018
Brian R Summers Individual Corporate Director Dec 1, 2019
Seth K Arrow Individual Corporate DirectorBoard Member Jan 1, 2024
Stacy Koos Individual Corporate OfficerVice Chair Jan 1, 2018
Corporate DirectorBoard of Director Jan 1, 2017
Samaritan Health Services Inc. Organization, Corvallis, OR Corporation Operational/Managerial Control Jan 1, 2000 100%
Kristal Dufour Individual Corporate DirectorBoard Member Jan 1, 2023
Daniel Keteri Individual Corporate OfficerCeo Jun 1, 2019
Operational/Managerial ControlCeo Jun 1, 2019
Scott a Schindell Individual Corporate DirectorBoard Member Jan 1, 2025
Karsen O'Bryan Individual Corporate DirectorBoard Member Jan 1, 2025
Paul M Greaves Individual Corporate DirectorBoard Member Jan 1, 2023
April Grace Jensen Individual Corporate DirectorBoard Member Jan 1, 2023
Rick Kenyon Individual Corporate DirectorBoard of Director Jan 1, 2018
Stacie Lafollette Individual W-2 Managing EmployeeAccess Manager Jan 1, 2022
Daniel Burton Smith Individual Corporate OfficerVice President Finance/Cfo Jan 1, 2000
Operational/Managerial ControlSr. Vice President/Cfo Jan 1, 2000

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 27

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 27

Affiliated clinicians 547

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

View all 547

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": "1652227200000",
    "number": "1104182369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391188",
            "telephone_number": "541-768-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 ELM ST SW STE 201",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211952",
            "telephone_number": "541-768-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "KETERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-812-4102"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Heart & Rhythm Center of Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.