Mid-Valley Healthcare, Inc.

Organization Active NPI Hematology & Oncology Physician · Lebanon, OR

NPI 1396005641 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1396005641
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
MID-VALLEY HEALTHCARE, INC.
Practice address
525 N Santiam Hwy Ste D
Lebanon, OR 97355-4363
Phone
(541) 451-7462
NPI assigned
May 21, 2012
Organization subpart
No

Authorized official

Name
Jennifer Kimberlain
Title
Ceo - SLCH
Phone
(719) 352-6373

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 29

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

View all 29

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

Practitioners 27

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

View all 27

Affiliated clinicians 430

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

View all 430

Medicare Care Compare: Hospital

Listed as
Samaritan Lebanon Community Hospital CCN 381323
Overall star rating
★★★☆☆ 3 of 5
Type
Critical Access 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 381323

Legal name
MID-VALLEY HEALTHCARE INC
Doing business as
SAMARITAN LEBANON COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2005
Last certification
Jun 8, 2006
Beds
49 (25 certified)
Ownership / control type
Church
Organization structure
Corporation · Non-profit
Incorporated
Jun 5, 1950 in OR
Enrollment address
525 N Santiam Hwy
Lebanon, OR 97355-4363
Other Hospital Practice Location

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Robert Adams
Individual
Corporate Director
Secretary
Jan 1, 2016
Rachel Hankins
Individual
Corporate Director
Board Member
Oct 9, 2018
Samaritan Health Services Inc.
Organization · Corvallis, OR
Non-profit
Operational/Managerial Control Jan 1, 1997 100%
Richard C Evans
Individual
Corporate Director
GM Chair
Jan 1, 2021
Marsha Philpott
Individual
Corporate Director
Board Member
Jan 1, 2015
Mirabelle Fernandes Paul
Individual
Corporate Director
Board Member
Jan 1, 2025
Loren Roth
Individual
Corporate Director
Treasurer
Jan 1, 2015
Joseph Cahill
Individual
Corporate Officer
Ceo
Dec 15, 2015 100%
W-2 Managing Employee Dec 15, 2015
Andrew Wimer
Individual
Corporate Director
Board Member
Jun 25, 2024
Vanessa R Papalazaros
Individual
Corporate Director Jan 1, 2025
Wendie Wunderwald
Individual
Corporate Director
Board Member
Jan 1, 2025
Jennifer Kimberlain
Individual
Corporate Officer
Ceo/Administrator - SLCH
Mar 9, 2026
W-2 Managing Employee
Ad;
Mar 9, 2026
Operational/Managerial Control
Ceo/Administrator - SLCH
Mar 9, 2026
Richard C Wopat
Individual
Corporate Director
Board Member
Jan 1, 2021
Linn Armstrong
Individual
Corporate Director
Board Member
Jan 1, 2016
Randy Springer
Individual
Corporate Director
President
Jan 1, 2017
Brent Kauffman
Individual
Corporate Director
Board Member
Jan 1, 2017
Paula M Crone
Individual
Corporate Director
Board Member
Dec 11, 2018
Daniel Burton Smith
Individual
Corporate Officer
Vice President Finance/Cfo
Apr 24, 2003

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031111000297 OR Part B Supplier - Clinic/Group Practice 2769391523 Receives reassigned benefits from 458 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR; Newport, OR; Halsey, OR; Brownsville, OR
O20061104000140 OR Part a Provider - Critical Access Hospital 2769391523 Receives reassigned benefits from 421 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X Yes

Addresses

Primary practice location

525 N Santiam Hwy Ste D
Lebanon, OR 97355-4363

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-4410

Other identifiers

IdentifierTypeStateIssuer
500657700MedicaidOR

Other names

  • Samaritan Hematology & Oncology - Lebanon Doing business as

Other providers in Lebanon, OR

All providers in Lebanon, OR · Hematology & Oncology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.