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Albany General Hospital

Organization Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Albany, OR

NPI 1700280674 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1700280674
Entity type
Organization (NPI type 2)
Primary specialty
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
Legal business name
ALBANY GENERAL HOSPITAL
Practice address
631 Elm St SW Ste 200&205
Albany, OR 97321-1952
Phone
(541) 812-5020
NPI assigned
Oct 21, 2014
Organization subpart
No

Authorized official

Name
Mr. Daniel Keteri
Title
Ceo
Phone
(541) 812-4102

Other NPIs on the same Medicare enrollment 31

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

View all 31

Corporate family (same tax ID) 30

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

View all 30

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040310000310 OR Part B Supplier - Clinic/Group Practice 9931097987 Receives reassigned benefits from 473 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, OR

National Provider Directory

Tax ID family
Thomas E Vanasche (31 organizations share this tax ID)

Locations

631 Elm St SW
Ste 200205
Albany, OR 97321
Phone (541) 812-5020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207QH0002X OR Yes

Addresses

Primary practice location

631 Elm St SW Ste 200&205
Albany, OR 97321-1952

Mailing address

PO Box 1188
Corvallis, OR 97339-1188
Phone (541) 768-4410

Other identifiers

IdentifierTypeStateIssuer
500679757MedicaidOR

Other names

  • Samaritan Palliative Care Doing business as

Other providers in Albany, OR

All providers in Albany, OR · Hospice and Palliative Medicine (Family Medicine) Physician in Oregon

Sources for this page

Verify at the official NPI Registry.