NPIMap

Organization Active NPI

Samaritan North Lincoln Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lincoln City, OR
National Provider Identifier
1356499370
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
141456 Issued in OR
Legal business name
SAMARITAN NORTH LINCOLN HOSPITAL
Practice address
3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone
(541) 994-3661
NPI assigned
Jan 8, 2007
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Lesley J. Ogden, MDNPI 1245243625
Title
Ceo
Phone
(541) 996-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 141456 OR Primary

Addresses

Primary practice location

3043 NE 28TH St
Lincoln City, OR 97367-4518

Mailing address

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Other identifiers 1

IdentifierTypeStateIssuer
800087MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000364 OR Part A Provider - Critical Access Hospital 7911816301 Receives reassigned benefits from 3 practitioners
Practice locations: Lincoln City, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356499370. Details of each certification follow.

Hospital certification: CCN 38Z302

Legal name
SAMARITAN NORTH LINCOLN HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2001 in OR
Enrollment address
3043 NE 28TH St
Lincoln City, OR 97367-4518
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

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

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Samaritan Health Services Inc. Organization, Corvallis, OR Non-profit Operational/Managerial Control Jan 1, 2001 100%
Kelley Kaiser Individual Corporate DirectorBoard Member Dec 31, 2019
Darrell Dean Orton Individual Corporate DirectorBoard Member Jan 21, 2003
Joseph Cahill Individual Corporate DirectorCeo Dec 31, 2008 100%
W-2 Managing EmployeeCeo Dec 31, 2008 100%
Operational/Managerial ControlCeo Dec 31, 2008 100%
Terry Buggenhagen Individual Corporate DirectorBoard Member Aug 16, 2018
Lesley J Ogden Individual Operational/Managerial ControlCeo Dec 15, 2015
Christine Chandler Individual Corporate DirectorBoard Member Jan 9, 2001
June Chrisman Individual Corporate DirectorBoard Member Aug 16, 2018
Samaritan North Lincoln Hospital Organization, Lincoln City, OR 5% Or Greater Direct Ownership Interest Apr 21, 1965
Operational/Managerial Control Apr 21, 1965
Elizabeth Ann Butler Individual Corporate OfficerSecretary Apr 21, 2013
Corporate DirectorBoard Member Apr 21, 2013
Stuart Pritchard Individual Corporate DirectorBoard Member Aug 16, 2018
Doug Boysen Individual Corporate OfficerChair Jan 10, 2018
Corporate DirectorBoard Member Jan 10, 2018
Richard Townsend Individual Corporate DirectorBoard Member Mar 17, 2004

Owners & managing parties with NPI records 4

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 4

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1356499370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-994-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-994-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN NORTH LINCOLN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-996-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "141456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800087",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.