Albany General Hospital
Organization Active NPI Community/Retail Pharmacy · Albany, OR
NPI 1548313356 · NPPES record last updated Nov 21, 2018
Key facts
- NPI
- 1548313356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 00104 (OR)
- Legal business name
- ALBANY GENERAL HOSPITAL
- Practice address
- 1010 7TH Ave SW
Albany, OR 97321-1922 - Phone
- (541) 812-5071
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- David Triebes, MBA
- Title
- Ceo
- Phone
- (541) 812-4102
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 195
-
Holly T Almond, NP
-
Ahmed Alshaarawi, CRNA
-
Tim Arakawa, MD, PHD
-
Frederic Nathan Bahnson, M.D.
-
Nathan Daniel Barlow, PA-C
-
Winnie Barron, PA-C
-
Kelli Spencer Baum, D.O.
-
Somphone S. Beasley, MSN, FNP
-
Carey Bertram, NP
-
Ashley Biegler, CRNA
-
Heidi Lee Blair, ARNP
-
Tashina Louise Blair, FNP-BC
-
Rachel Blumel, PA-C
-
Timothy Eldon Blumer, D.O.
-
James C Borowiec, MD
-
Larry Paul Buglino III, D.O.
-
Rebekah Anne Byrne, M.D.
-
Donald A. Campbell, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Samaritan Evergreen Hospice |
Hospice | Operational/Managerial Control (100%) | Jan 1, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160928001921 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931097987 |
1 other NPI on this enrollment Practice locations: Albany, OR |
| O20171226001783 | OR | Part B Supplier - Pharmacy | 9931097987 |
1 other NPI on this enrollment Practice locations: Albany, OR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 00104 | OR | Yes |
Addresses
Primary practice location
1010 7TH Ave SW
Albany, OR 97321-1922
Mailing address
1010 7TH Ave SW
Albany, OR 97321-1922
Phone (541) 812-5071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP-0000104-CS | Other | OR | STATE LICENSE |
Other names
- Elm Street Pharmacy
Other providers in Albany, OR
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
All providers in Albany, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2018. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.