Samaritan Pacific Health Services Inc
Organization Active NPI Medical Oncology Physician · Newport, OR
NPI 1376691345 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1376691345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 141460 (OR)
- Legal business name
- SAMARITAN PACIFIC HEALTH SERVICES INC
- Practice address
- 929 SW Bay St
Newport, OR 97365-4862 - Phone
- (541) 265-6229
- Fax
- (541) 754-2775
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. David C. Bigelow
- Title
- Ceo
- Phone
- (541) 574-1801
Other NPIs on the same Medicare enrollment 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000304 | OR | Part B Supplier - Clinic/Group Practice | 2466353529 |
Receives reassigned benefits from 384 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport, OR; Depoe Bay, OR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician |
207RX0202X | 141460 | OR | Yes |
Addresses
Primary practice location
929 SW Bay St
Newport, OR 97365-4862
Mailing address
929 SW Bay St
Newport, OR 97365-4862
Phone (541) 265-6229
Other names
- SPCH Oncology Clinic
Other providers in Newport, OR
- Samaritan Pacific Health Services
- Samaritan Pacific Health Services
- Samaritan Pacific Health Services
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
- Samaritan Pacific Health Services Inc
All providers in Newport, OR · Medical Oncology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.