Active NPI
Samaritan Open MRI LLC
Doing business as Samaritan Willamette Valley Open MRI
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Albany, OR
National Provider Identifier
1417098252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- SAMARITAN OPEN MRI LLC
- Doing business as
- Samaritan Willamette Valley Open MRI
- Practice address
- 400 NW Hickory Street
Albany, OR 97321-1700 - Phone
- (541) 812-4135
- NPI assigned
- Feb 12, 2007
- Last updated
- Jun 24, 2008
- 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
- Mr. David G Triebes
- Title
- Ceo
- Phone
- (541) 812-4104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | NU | Primary |
Addresses
Primary practice location
400 NW Hickory Street
Albany, OR 97321-1700
Mailing address
400 NW Hickory Street
Albany, OR 97321-1700
Phone (541) 812-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245785 | Medicaid | OR |
Other names 1
- Samaritan Willamette Valley Open MRI
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Calapooia Family Medicine
- Family Medicine Physician
- Albany, OR
- NPI 1205192465
Member Of
Locations
400 Hickory St NW
Ste 102
Albany, OR 97321
Phone (541) 812-5800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1417098252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NW HICKORY STREET",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211700",
"telephone_number": "541-812-5800",
"fax_number": "541-812-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NW HICKORY STREET",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211700",
"telephone_number": "541-812-4135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN OPEN MRI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "TRIEBES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-812-4104",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245785",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Willamette Valley Open MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, OR
- Aaron Daniel Salzano, OD
- Samaritan Firstcare Physicians (Samaritan Mid-Valley Internal Medicine & Pediatrics)
- Samaritan Health Services
- Samaritan Health Services, Inc. (SamFit-Albany)
- Samaritan Integrative Medicine, LLC (Albany Heartspring Wellness Center)
- Sergio Alejandro Sanchez Carrasco
- Valeria Jailene Sanchez
- Trista Sanders, LPN
- Karen Loraine Sangiovanni, CADC II
- Kenneth Neil Sansome, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.