Active NPI
Good Samaritan Hospital Corvallis
- Infectious Disease Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- GOOD SAMARITAN HOSPITAL CORVALLIS
- Practice address
- 3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3784 - Phone
- (541) 768-5810
- NPI assigned
- Apr 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph M. Cahill III
- Title
- Ceo-Gsrmc
- Phone
- (541) 451-7914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3784
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-4410
Other names 1
- Samaritan Infectious Disease - Corvallis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030319000024 | OR | Part A Provider - Hospital | 1557270725 |
20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Corvallis, OR |
| O20031125000163 | OR | Part B Supplier - Clinic/Group Practice | 1557270725 |
Receives reassigned benefits from 589 practitioners This NPI is an additional NPI on the enrollment Practice locations: Corvallis, OR; Albany, OR |
Hospital certification: CCN 380014
- Legal name
- GOOD SAMARITAN HOSPITAL CORVALLIS
- Doing business as
- GOOD SAMARITAN REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 13, 2016
- Beds
- 188
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Dec 8, 1948 in OR
- Enrollment address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-3737 - Hospital subgroups
- General
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Psychiatric Hospital Unit
- Corvallis, OR
- NPI 1790904225
Hospital unit
Other NPIs on the same Medicare enrollment 20
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1063787851
O20030319000024
-
- Pulmonary Disease Physician
- Corvallis, OR
- NPI 1073073250
O20030319000024
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
O20030319000024
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1275882102
O20030319000024
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1346514015
O20030319000024
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1427323690
O20030319000024
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
O20030319000024
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1750647905
O20030319000024
Care Compare: Hospital
Medicare Care Compare- Listed as
- Good Samaritan Regional Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Good Samaritan Regional Med
Other organizations with this tax ID 49
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Albany, OR
- NPI 1316302672
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1811235070
-
- Pharmacist
- Corvallis, OR
- NPI 1851756100
-
- Pharmacy
- Corvallis, OR
- NPI 1962506501
-
- Durable Medical Equipment & Medical Supplies
- Albany, OR
- NPI 1982902326
-
- Surgery Physician
- Corvallis, OR
- NPI 1043576291
-
- Pharmacist
- Corvallis, OR
- NPI 1043675382
-
- Neurological Surgery Physician
- Corvallis, OR
- NPI 1063771152
-
- Internal Medicine Physician
- Albany, OR
- NPI 1063779205
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1063787851
-
- Pulmonary Disease Physician
- Corvallis, OR
- NPI 1073073250
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
Locations
3521 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-5140
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Samaritan Health Services Inc. | Operational/Managerial Control | Dec 17, 1992 | 100% |
| Abbe E Montgomery | Corporate Director | Jan 1, 2021 | |
| Becky Pape | Corporate Director | Jan 1, 2025 | |
| Joseph Cahill | Corporate Officer | Aug 1, 2024 | |
| W-2 Managing Employee | Aug 1, 2024 | ||
| Nancy Seifert | Corporate Officer | Nov 2, 2010 | |
| Corporate Director | Nov 2, 2010 | ||
| Kelly Gallagher | Corporate Director | Apr 23, 2018 | |
| Lyle Hutchens | Corporate Director | Jan 1, 2016 | |
| Richard Cronk | Corporate Officer | Jan 1, 1998 | |
| Corporate Director | Jan 1, 1998 | ||
| Tim Hennessy | Corporate Director | Nov 2, 2011 | |
| Steve Uerlings | Corporate Director | Apr 23, 2013 | |
| Josiah S Johnson | Corporate Officer | Dec 2, 2024 | |
| W-2 Managing Employee | Dec 2, 2024 | ||
| Operational/Managerial Control | Dec 2, 2024 | ||
| Eric Thompson | Corporate Director | Jan 1, 2001 | |
| Surinder M Vasdev | Corporate Director | Aug 20, 2024 | |
| David Marshall | Corporate Director | Aug 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Corvallis, OR
- NPI 1699220491
-
- Hospitalist Physician
- Lebanon, OR
- NPI 1518901313
-
- Physician Assistant
- Lebanon, OR
- NPI 1821776196
-
- Certified Registered Nurse Anesthetist
- Albany, OR
- NPI 1972360865
-
- Clinical Social Worker
- Albany, OR
- NPI 1710251103
-
- Hospitalist Physician
- Corvallis, OR
- NPI 1235425398
-
- Family Medicine Physician
- Lebanon, OR
- NPI 1023692480
-
- Adult Health Nurse Practitioner
- Corvallis, OR
- NPI 1013956036
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1629463237
-
- Physician Assistant
- Albany, OR
- NPI 1255058285
-
- Internal Medicine Physician
- Lincoln City, OR
- NPI 1801063839
Affiliated clinicians 617
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1841421229
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1407112642",
"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": "541-768-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 NW SAMARITAN DR",
"address_2": "SUITE 210",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303784",
"telephone_number": "541-768-5810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-02",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "CAHILL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO-GSRMC",
"authorized_official_telephone_number": "541-451-7914",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Infectious Disease - Corvallis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.