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Albany General Hospital

Organization Active NPI General Acute Care Hospital · Albany, OR

NPI 1154372340 · NPPES record last updated Mar 11, 2025

Key facts

NPI
1154372340
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
14 1459 (OR)
Legal business name
ALBANY GENERAL HOSPITAL
Practice address
1046 6TH Avenue SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
May 13, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 6

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 33

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

View all 33

Other NPIs with the same Medicare PAC ID 3

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

Facilities with the same owner 21

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

Practitioners 528

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 528

Affiliated clinicians 547

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

View all 547

Medicare Care Compare: Hospital

Listed as
Samaritan Albany General Hospital CCN 380022
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OR

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
Corporation · Non-profit
Incorporated
Oct 12, 1925 in OR
Enrollment address
1046 6TH Ave SW
Albany, OR 97321-1916
Main/Primary Hospital Location
Hospital subgroups
General

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Samaritan Evergreen Hospice
Albany, OR · CCN 381517		 Hospice Operational/Managerial Control (100%) Jan 1, 2000

Medicare enrollment records

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
Practice locations: Albany, OR
O20050214000492 OR Part a Provider - Hospital 9931097987 16 other NPIs on this enrollment
Practice locations: Albany, OR; Corvallis, OR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 14 1459 OR Yes

Addresses

Primary practice location

1046 6TH Avenue SW
Albany, OR 97321-1916

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-4225

Other identifiers

IdentifierTypeStateIssuer
000292MedicaidOR

Other names

  • Samaritan Albany General Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2025.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1154372340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189",
            "telephone_number": "541-768-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVENUE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "KETERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO-SAGH",
        "authorized_official_telephone_number": "541-812-4102"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14 1459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000292",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Albany General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

All providers in Albany, OR · General Acute Care Hospital in Oregon

Sources for this page

Verify at the official NPI Registry.