Organization Active NPI

Benton County

Doing business as Sweet Home Health Center

  • Federally Qualified Health Center (FQHC)
  • Sweet Home, OR
National Provider Identifier
1801278015
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BENTON COUNTY
Doing business as
Sweet Home Health Center
Practice address
1023 Main St
Sweet Home, OR 97386-1515
Phone
(541) 766-3533
Fax
(541) 766-6833
NPI assigned
Jun 24, 2015
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BENTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Lacey Mollel
Title
Health Center Director
Phone
(541) 766-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1023 Main St
Sweet Home, OR 97386-1515

Mailing address

PO Box 579
Corvallis, OR 97339-0579
Phone (541) 766-6835

Other identifiers 1

IdentifierTypeStateIssuer
227701MedicaidOR

Other names 2

  • Sweet Home Health Center Doing business as
  • Benton County Health Services - Sweet Home Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151211000554 OR Part A Provider - Federally Qualified Health Center (FQHC) 6709858020 Practice locations: Sweet Home, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801278015. Details of each certification follow.

Federally qualified health center certification: CCN 381968

Legal name
BENTON COUNTY
Doing business as
BENTON COUNTY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 9, 2015
Last certification
Nov 9, 2015
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Dec 23, 1847 in OR
Enrollment address
1023 Main St
Sweet Home, OR 97386-1515

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Benton County13 organizations share this tax ID, including this one
Part of
Benton County

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Benton County Organization, Sweet Home, OR 5% Or Greater Direct Ownership Interest Dec 1, 2015 100%
Operational/Managerial Control Jul 1, 2024
Lacey Mollel Individual Corporate DirectorHealth Center Director May 17, 2022 100%
Operational/Managerial ControlHealth Center Director May 17, 2022 100%

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Benton County Health ServicesCorvallis, OR, CCN 381882 Federally qualified health center 5% Or Greater Direct Ownership Interest May 4, 2004
Benton County Health ServicesMonroe, OR, CCN 381883 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 4, 2004
Benton County Health ServicesCorvallis, OR, CCN 381881 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2004
Benton County Health ServicesLebanon, OR, CCN 381911 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2004
Benton County Health ServicesAlsea, OR, CCN 381969 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1801278015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390579",
            "telephone_number": "541-766-6835",
            "fax_number": "541-766-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MAIN ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861515",
            "telephone_number": "541-766-3533",
            "fax_number": "541-766-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENTON COUNTY",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MOLLEL",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "541-766-6835"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227701",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Home Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benton County Health Services - Sweet Home Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Benton County Health Services - Sweet Home Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sweet Home, OR

Sources for this page

Verify at the official NPI Registry.