Samaritan Dialysis Services LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

17-0008 Issued in OR

Legal business name

SAMARITAN DIALYSIS SERVICES LLC

Doing business as

Samaritan Dialysis Services LLC Corvallis Site

Practice address

3580 NW Samaritan Drive
Corvallis, OR 97330

Phone

(541) 768-5182

Fax

(541) 768-5183

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steven W. Jasperson

Title

Ceo

Phone

(541) 768-5009

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Dialysis Services LLC Corvallis Site Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376691436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 NW SAMARITAN DRIVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-768-5182",
            "fax_number": "541-768-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 NW SAMARITAN DRIVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-768-5182",
            "fax_number": "541-768-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN DIALYSIS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JASPERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-768-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OR",
            "license": "17-0008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Dialysis Services LLC Corvallis Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don Russell Saleski, RPH
• Karen Salinas, RN
• Rachel Hannah Salmon
• Marydale G Salston, PH.D., LMFT
• Samaritan Chiropractic LLC
• Samaritan Endoscopy LLC
• Samaritan Health Services
• Samaritan Health Services, Inc.
• Samaritan Heart of the Valley
• Samaritan Integrative Medicine, LLC (Corvallis Heartspring Wellness Center)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.