NPIMap

Organization Active NPI

Samaritan Pacific Health Services Inc

Doing business as Samaritan Health Clinic - Newport

  • Rural Health Clinic/Center
  • Newport, OR
National Provider Identifier
1831246248
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
Samaritan Health Clinic - Newport
Practice address
930 SW Abbey St Ste a
Newport, OR 97365-4820
Phone
(541) 265-8816
NPI assigned
Jan 5, 2007
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Lesley J. Ogden, MD, FACEP
Title
Ceo-SPCH
Phone
(541) 574-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

930 SW Abbey St Ste a
Newport, OR 97365-4820

Mailing address

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

Other names 1

  • Samaritan Health Clinic - Newport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR3 enrollments

Enrollment records 3

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
O20171130000963 OR Part A Provider - Rural Health Clinic 2466353529 Practice locations: Newport, OR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1831246248. 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

Rural health clinic certification: CCN 388532

Legal name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
SAMARITAN HEALTH CENTER - NEWPORT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 27, 2018
Last certification
Oct 10, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2002 in OR
Enrollment address
930 SW Abbey St
Ste a
Newport, OR 97365-4820
Related CCNs
381314

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

View all 15

Other NPIs with the same Medicare PAC ID 6

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

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0956313Samaritan Health Clinic - Newport930 SW Abbey St, Suite a, Newport, OR 97365Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

930 SW Abbey St
Ste A
Newport, OR 97365
Phone (541) 265-2244

Ownership & related parties

All disclosed owners & managing parties 11

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
Operational/Managerial Control Jan 1, 2012 100%
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
Corporate OfficerBoard 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
Corporate OfficerCeo Dec 23, 2016
W-2 Managing EmployeeCeo 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
Corporate OfficerVice President Finance/Cfo Jan 1, 2000
Operational/Managerial ControlVice President Finance/Cfo Jan 1, 2000
Ursula Marinelli Individual Corporate DirectorBoard Member Apr 1, 2025
Matthew Updenkelder Individual Corporate DirectorBoard Member Aug 15, 2024

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Samaritan Health Clinic - WaldportWaldport, OR, CCN 388519 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2012
Samaritan Health Clinic - ToledoToledo, OR, CCN 388529 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 5

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.

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1831246248",
    "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": "930 SW ABBEY ST STE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-265-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO-SPCH",
        "authorized_official_telephone_number": "541-574-4674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACEP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Health Clinic - Newport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.