NPIMap

Organization Active NPI

Willamette Valley Medical Center LLC

Doing business as Senior Behavioral Health Unit

  • Psychiatric Hospital Unit
  • McMinnville, OR
National Provider Identifier
1699019216
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
WILLAMETTE VALLEY MEDICAL CENTER LLC
Doing business as
Senior Behavioral Health Unit
Practice address
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone
(503) 472-6131
Fax
(503) 472-8691
NPI assigned
Nov 20, 2012
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLAMETTE VALLEY MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

2700 SE Stratus Ave
McMinnville, OR 97128-6255

Mailing address

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 472-6131

Other names 1

  • Senior Behavioral Health Unit Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address willamettevalleymedcen@wvmc.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000452 OR Part A Provider - Hospital 2466365010 Practice locations: McMinnville, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699019216. Details of each certification follow.

Hospital certification: CCN 38S071

Legal name
WILLAMETTE VALLEY MEDICAL CENTER LLC
Doing business as
WILLAMETTE VALLEY MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Willamette Valley Crna2 organizations share this tax ID, including this one
Part of
Willamette Valley Crna

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
DSB Acquisition LLC Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 2, 2016 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 21, 2022
Capella Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2008 100%
Oregon Healthcorp, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 12, 1999 100%
Capella Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2008 100%
John Michael Grooms Individual Corporate OfficerSVP and Treasurer Jun 30, 2025
Dewane Pace Individual W-2 Managing EmployeeFacility Ceo Feb 10, 2024
Christopher J Monte Individual Corporate OfficerVice President Nov 16, 2018
Jennifer Alderfer Individual Corporate OfficerPresident Oct 30, 2023
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Capella Health Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 31, 2015 100%

Facilities with the same owner 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1699019216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-6131",
            "fax_number": "503-472-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-6131",
            "fax_number": "503-472-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMETTE VALLEY MEDICAL CENTER, LLC",
        "enumeration_date": "2012-11-20",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willamettevalleymedcen@wvmc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "2700 SE Stratus Ave",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971286255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senior Behavioral Health Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Behavioral Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.