NPIMap

Organization Active NPI

Samaritan North Lincoln Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lincoln City, OR
National Provider Identifier
1134423288
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SAMARITAN NORTH LINCOLN DIALYSIS
Practice address
2817 NE West Devils Lake Rd
Lincoln City, OR 97367-5128
Phone
(541) 994-3661
Fax
(541) 996-7386
NPI assigned
Jan 4, 2011
Organization subpart
Yes
Parent organization
SAMARITAN NORTH LINCOLN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Joseph M Cahill II
Title
Ceo
Phone
(541) 996-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2817 NE West Devils Lake Rd
Lincoln City, OR 97367-5128

Mailing address

2817 NE West Devils Lake Rd
Lincoln City, OR 97367-5128
Phone (541) 994-3661

National Provider Directory

National Provider Directory
Tax ID family
Samaritan North Lincoln15 organizations share this tax ID, including this one
Part of
Samaritan North Lincoln

Other organizations with this tax ID 14

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

View all 14

Locations

2817 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-3661

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1134423288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675128",
            "telephone_number": "541-994-3661",
            "fax_number": "541-996-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675128",
            "telephone_number": "541-994-3661",
            "fax_number": "541-996-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN NORTH LINCOLN DIALYSIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITAN NORTH LINCOLN HOSPITAL",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-996-6441",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.