NPIMap

Organization Active NPI

Mid-Valley Healthcare Inc

Doing business as Samaritan Lebanon Community Hospital

  • Critical Access Hospital
  • Lebanon, OR
National Provider Identifier
1689625980
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
141453 Issued in OR
Legal business name
MID-VALLEY HEALTHCARE INC
Doing business as
Samaritan Lebanon Community Hospital
Practice address
525 N Santiam Highway
Lebanon, OR 97355-4363
Phone
(541) 258-2101
NPI assigned
May 12, 2006
Last updated
Mar 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Authorized official

Name
Daniel Rackham
Title
Ceo-SLCH
Phone
(541) 451-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 141453 OR Primary

Addresses

Primary practice location

525 N Santiam Highway
Lebanon, OR 97355-4363

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
026638MedicaidOR

Other names 1

  • Samaritan Lebanon Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

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
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
Practice locations: Lebanon, OR; Sweet Home, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689625980. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jun 5, 1950 in OR
Enrollment address
525 N Santiam Hwy
Lebanon, OR 97355-4363
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 29

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

View all 29

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan Lebanon Community HospitalCCN 381323 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

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 DirectorSecretary Jan 1, 2016
Rachel Hankins Individual Corporate DirectorBoard 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 DirectorGM Chair Jan 1, 2021
Marsha Philpott Individual Corporate DirectorBoard Member Jan 1, 2015
Mirabelle Fernandes Paul Individual Corporate DirectorBoard Member Jan 1, 2025
Loren Roth Individual Corporate DirectorTreasurer Jan 1, 2015
Joseph Cahill Individual Corporate OfficerCeo Dec 15, 2015 100%
W-2 Managing Employee Dec 15, 2015
Andrew Wimer Individual Corporate DirectorBoard Member Jun 25, 2024
Vanessa R Papalazaros Individual Corporate Director Jan 1, 2025
Wendie Wunderwald Individual Corporate DirectorBoard Member Jan 1, 2025
Jennifer Kimberlain Individual Corporate OfficerCeo/Administrator - SLCH Mar 9, 2026
W-2 Managing EmployeeAd; Mar 9, 2026
Operational/Managerial ControlCeo/Administrator - SLCH Mar 9, 2026
Richard C Wopat Individual Corporate DirectorBoard Member Jan 1, 2021
Linn Armstrong Individual Corporate DirectorBoard Member Jan 1, 2016
Randy Springer Individual Corporate DirectorPresident Jan 1, 2017
Brent Kauffman Individual Corporate DirectorBoard Member Jan 1, 2017
Paula M Crone Individual Corporate DirectorBoard Member Dec 11, 2018
Daniel Burton Smith Individual Corporate OfficerVice President Finance/Cfo Apr 24, 2003

Owners & managing parties with NPI records 2

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

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Practitioners 526

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 526

Affiliated clinicians 430

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

View all 430

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1689625980",
    "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": "525 N SANTIAM HIGHWAY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554363",
            "telephone_number": "541-258-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "RACKHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO-SLCH",
        "authorized_official_telephone_number": "541-451-7914"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "141453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026638",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Lebanon Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Lebanon Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.