NPIMap

Organization Active NPI

Samaritan North Lincoln Hospital

  • Surgery Physician
  • Lincoln City, OR
National Provider Identifier
1700934338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SAMARITAN NORTH LINCOLN HOSPITAL
Practice address
3100 NE 28TH St
Suite B
Lincoln City, OR 97367-4524
Phone
(541) 994-8114
Fax
(541) 994-9769
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Flaig
Title
Ceo
Phone
(541) 996-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3100 NE 28TH St
Suite B
Lincoln City, OR 97367-4524

Mailing address

3100 NE 28TH St
Suite B
Lincoln City, OR 97367-4524
Phone (541) 994-8114

Other names 1

  • Samaritan Surgical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Samaritan North Lincoln15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700934338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NE 28TH ST",
            "address_2": "SUITE B",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674524",
            "telephone_number": "541-994-8114",
            "fax_number": "541-994-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 28TH ST",
            "address_2": "SUITE B",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674524",
            "telephone_number": "541-994-8114",
            "fax_number": "541-994-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN NORTH LINCOLN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLAIG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-996-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Surgical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.