NPIMap

Good Samaritan Hospital Corvallis

Organization Active NPI Gastroenterology Physician · Corvallis, OR

NPI 1821802117 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1821802117
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
GOOD SAMARITAN HOSPITAL CORVALLIS
Practice address
3521 NW Samaritan Dr Ste 101
Corvallis, OR 97330-4744
Phone
(541) 768-6119
NPI assigned
Feb 5, 2025
Organization subpart
No

Authorized official

Name
Sy Johnson
Title
Ceo-Gsrmc
Phone
(541) 768-6768

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 20

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

Corporate family (same tax ID) 49

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

View all 49

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

Practitioners 2

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

Affiliated clinicians 617

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

View all 617

Medicare Care Compare: Hospital

Listed as
Good Samaritan Regional Medical Center CCN 380014
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OR

Hospital certification: CCN 380014

Legal name
GOOD SAMARITAN HOSPITAL CORVALLIS
Doing business as
GOOD SAMARITAN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 13, 2016
Beds
188
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Dec 8, 1948 in OR
Enrollment address
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Main/Primary Hospital Location
Hospital subgroups
General

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
Samaritan Health Services Inc.
Organization · Corvallis, OR
Corporation, Non-profit, Chain home office 		Operational/Managerial Control Dec 17, 1992 100%
Abbe E Montgomery
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Becky Pape
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Joseph Cahill
Individual 		Corporate Officer
Ceo		 Aug 1, 2024
W-2 Managing Employee
Ceo		 Aug 1, 2024
Nancy Seifert
Individual 		Corporate Officer
Chair		 Nov 2, 2010
Corporate Director
Board Member		 Nov 2, 2010
Kelly Gallagher
Individual 		Corporate Director
Secretary		 Apr 23, 2018
Lyle Hutchens
Individual 		Corporate Director
Board Member		 Jan 1, 2016
Richard Cronk
Individual 		Corporate Officer
Treasurer		 Jan 1, 1998
Corporate Director
Board Member		 Jan 1, 1998
Tim Hennessy
Individual 		Corporate Director
Board Member		 Nov 2, 2011
Steve Uerlings
Individual 		Corporate Director
Board Member		 Apr 23, 2013
Josiah S Johnson
Individual 		Corporate Officer
Ceo-Gsrmc		 Dec 2, 2024
W-2 Managing Employee
Ceo-Gsrmc		 Dec 2, 2024
Operational/Managerial Control
Ceo-Gsrmc		 Dec 2, 2024
Eric Thompson
Individual 		Corporate Director
Board Member		 Jan 1, 2001
Surinder M Vasdev
Individual 		Corporate Director
Board Member		 Aug 20, 2024
David Marshall
Individual 		Corporate Director
Board Member		 Aug 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030319000024 OR Part a Provider - Hospital 1557270725 20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR
O20031125000163 OR Part B Supplier - Clinic/Group Practice 1557270725 Receives reassigned benefits from 589 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR; Albany, OR

National Provider Directory

Tax ID family
Good Samaritan Regional Med (50 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

3521 NW Samaritan Dr Ste 101
Corvallis, OR 97330-4744

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-4410

Other names

  • Samaritan Gastroenterology Corvallis Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2026.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1821802117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189",
            "telephone_number": "541-768-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NW SAMARITAN DR STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304744",
            "telephone_number": "541-768-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SY",
        "authorized_official_title_or_position": "CEO-GSRMC",
        "authorized_official_telephone_number": "541-768-6768"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Gastroenterology Corvallis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

All providers in Corvallis, OR · Gastroenterology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.