Mid Valley Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0000814 Issued in OR

Legal business name

MID VALLEY HEALTHCARE INC

Doing business as

Samaritan Pharmacy - Lebanon

Practice address

675 N 5TH Street
Lebanon, OR 97355-2875

Phone

(541) 451-6410

NPI assigned

May 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph M. Cahill

Title

Ceo

Phone

(541) 557-6441

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Pharmacy - Lebanon Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Mid Valley Healthcare Inc

  dba Samaritan Pharmacy - Sweet Home

  • Community/Retail Pharmacy
  • Sweet Home, OR
  • NPI 1205524691

  O20180110001367

  Same enrollment
• Mid-Valley Healthcare, Inc.

  dba Samaritan Lebanon Community Pharmacy

  • Community/Retail Pharmacy
  • Lebanon, OR
  • NPI 1699063784

  O20180110001367

  Same enrollment

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598975013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N 5TH STREET",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552875",
            "telephone_number": "541-451-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N 5TH STREET",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552875",
            "telephone_number": "541-451-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-557-6441"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Pharmacy - Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Messenger, DO
• Robert Paulsen Michael, M.D.
• Bradley Thomas Michel
• Mid Valley Healthcare Inc (Samaritan Lebanon Community Hospital Inpatient Pharmacy)
• Mid Valley Healthcare Inc
• Mid-Valley Healthcare Inc (Samaritan Treatment and Recovery Services)
• Mid-Valley Healthcare Inc (Samaritan Lebanon Community Hospital)
• Mid-Valley Healthcare Inc (Samaritan Lebanon Community Hospital)
• Mid-Valley Healthcare Inc (Samaritan OMT Lebanon)
• Mid-Valley Healthcare, Inc (Samaritan Kidney Specialists)

• Community/Retail Pharmacy in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.