NPIMap

Organization Active NPI

Samaritan Pacific Health Services Inc

  • Hospitalist Physician
  • Newport, OR
National Provider Identifier
1811045867
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
141460 Issued in OR
Legal business name
SAMARITAN PACIFIC HEALTH SERVICES INC
Practice address
930 SW Abbey Street
Newport, OR 97365-4820
Phone
(541) 265-2244
Fax
(541) 574-4671
NPI assigned
Jan 8, 2007
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Lesley J Ogden
Title
Ceo
Phone
(541) 996-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 141460 OR Primary

Addresses

Primary practice location

930 SW Abbey Street
Newport, OR 97365-4820

Mailing address

930 SW Abbey Street
Newport, OR 97365-4820
Phone (541) 265-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000304 OR Part B Supplier - Clinic/Group Practice 2466353529 Receives reassigned benefits from 384 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, OR; Depoe Bay, OR
O20061104000163 OR Part A Provider - Critical Access Hospital 2466353529 Receives reassigned benefits from 366 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811045867. Details of each certification follow.

Hospital certification: CCN 381314

Legal name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
SAMARITAN PACIFIC COMMUNITIES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2003
Last certification
Mar 7, 2008
Beds
48 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1948 in OR
Enrollment address
930 SW Abbey St
Newport, OR 97365-4820
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 25

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

View all 25

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan Pacific Community HospitalCCN 381314 · All quality measures
Overall star rating
1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Samaritan Health Services Inc. Organization, Corvallis, OR Non-profit, Chain home office Operational/Managerial Control Jan 1, 2002
Kelley Kaiser Individual Corporate OfficerVice Chair Jan 1, 2020
Corporate DirectorBoard Member Jan 1, 2020
Jerry J Robbins Individual Corporate DirectorBoard Member Jan 1, 2012
Jayne L Romero Individual Corporate DirectorBoard Member Jan 1, 2022
Stephen M Burns Individual Corporate DirectorBoard Member Jan 1, 2003
Lesley J Ogden Individual Corporate OfficerCeo Dec 15, 2015
Corporate DirectorCeo Dec 15, 2015
W-2 Managing EmployeeCeo Dec 15, 2015
Operational/Managerial ControlCeo Dec 23, 2016
Ralph Breitenstein Individual Corporate OfficerSecretary Nov 21, 2013
Corporate DirectorBoard Member Nov 21, 2013
Alexandra Guevara Individual Corporate DirectorBoard Member Jan 1, 2022
Daniel Burton Smith Individual Operational/Managerial Control Jan 1, 2002

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

Affiliated clinicians 434

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 434

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": "1523318400000",
    "number": "1811045867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY STREET",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-265-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY STREET",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-265-2244",
            "fax_number": "541-574-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-996-7100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "141460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.