Mid-Valley Healthcare Inc
Organization Active NPI Critical Access Hospital · Lebanon, OR
NPI 1689625980 · NPPES record last updated Mar 2, 2025
Key facts
- NPI
- 1689625980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 141453 (OR)
- Legal business name
- MID-VALLEY HEALTHCARE INC
- Practice address
- 525 N Santiam Highway
Lebanon, OR 97355-4363 - Phone
- (541) 258-2101
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel Rackham
- Title
- Ceo-SLCH
- Phone
- (541) 451-7914
Owners & managing parties with NPI records 2
-
Richard C. Evans, M.D.
-
Vanessa Papalazaros, M.D.
Other NPIs on the same Medicare enrollment 29
Other NPIs with the same Medicare PAC ID 8
Related certifications (CCN) 7
Facilities with the same owner 21
Practitioners 532
-
Robert A Abernathy, M.D.
-
Tim Arakawa, MD, PHD
-
Anupam Arora, MD
-
Steven Astengo, DO
-
Juliette Roldan Asuncion, D.O.
-
William G. Barish, M.D.
-
Tasha Barkley, M. D. M.P.H.
-
Marylou L. Belozer, M.D.
-
Raed Benkhadra, MD
-
Heidi Lee Blair, ARNP
-
Tashina Louise Blair, FNP-BC
-
Adam Christopher Brady, M.D.
-
Maureen P Bruns, MD
-
Kristen Bessler Brusky, D.O.
-
Larry Paul Buglino III, D.O.
-
Stefanie R Coffey, DNP
-
Blake Cooper Corcoran, M.D.
Affiliated clinicians 430
-
Robert A Abernathy, M.D.
-
Mary Abraham, MD
-
Bryce Andrew Allio, M.D.
-
Tim Arakawa, MD, PHD
-
Lisa Rene Araneta, PA-C
-
Anupam Arora, MD
-
Leslie Ann Arpin, M.D.
-
Abinet Ashine, M.D.
-
Steven Astengo, DO
-
Juliette Roldan Asuncion, D.O.
-
William G. Barish, M.D.
-
Tasha Barkley, M. D. M.P.H.
-
Nathan Daniel Barlow, PA-C
-
Scott J. Barlow, PA-C
-
Kristina Barnes, DO
-
Winnie Barron, PA-C
-
Reda Tawfik Bassaly, PA-C
Medicare Care Compare: Hospital
- Listed as
- Samaritan Lebanon Community Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
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
- Corporation · Non-profit
- Incorporated
- Jun 5, 1950 in OR
- Enrollment address
- 525 N Santiam Hwy
Lebanon, OR 97355-4363
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Adams |
Corporate Director |
Jan 1, 2016 | |
| Rachel Hankins |
Corporate Director |
Oct 9, 2018 | |
| Samaritan Health Services Inc. |
Operational/Managerial Control | Jan 1, 1997 | 100% |
| Richard C Evans |
Corporate Director |
Jan 1, 2021 | |
| Marsha Philpott |
Corporate Director |
Jan 1, 2015 | |
| Mirabelle Fernandes Paul |
Corporate Director |
Jan 1, 2025 | |
| Loren Roth |
Corporate Director |
Jan 1, 2015 | |
| Joseph Cahill |
Corporate Officer |
Dec 15, 2015 | 100% |
| W-2 Managing Employee | Dec 15, 2015 | ||
| Andrew Wimer |
Corporate Director |
Jun 25, 2024 | |
| Vanessa R Papalazaros |
Corporate Director | Jan 1, 2025 | |
| Wendie Wunderwald |
Corporate Director |
Jan 1, 2025 | |
| Jennifer Kimberlain |
Corporate Officer |
Mar 9, 2026 | |
| W-2 Managing Employee |
Mar 9, 2026 | ||
| Operational/Managerial Control |
Mar 9, 2026 | ||
| Richard C Wopat |
Corporate Director |
Jan 1, 2021 | |
| Linn Armstrong |
Corporate Director |
Jan 1, 2016 | |
| Randy Springer |
Corporate Director |
Jan 1, 2017 | |
| Brent Kauffman |
Corporate Director |
Jan 1, 2017 | |
| Paula M Crone |
Corporate Director |
Dec 11, 2018 | |
| Daniel Burton Smith |
Corporate Officer |
Apr 24, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 141453 | OR | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026638 | Medicaid | OR |
Other names
- Samaritan Lebanon Community Hospital
Other providers in Lebanon, OR
- Mid Valley Healthcare Inc
- Mid Valley Healthcare Inc
- Mid Valley Healthcare Inc
- Mid-Valley Healthcare Inc
- Mid-Valley Healthcare Inc
- Mid-Valley Healthcare Inc
- Mid-Valley Healthcare, Inc
- Mid-Valley Healthcare, Inc.
- Mid-Valley Healthcare, Inc.
- Mid-Valley Healthcare, Inc.
All providers in Lebanon, OR · Critical Access Hospital in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.