NPIMap

Organization Active NPI

Samaritan Pacific Health Services Inc

Doing business as Samaritan Depoe Bay Clinic

  • Rural Health Clinic/Center
  • Depoe Bay, OR
National Provider Identifier
1942357355
Registry record updated Nov 3, 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 Depoe Bay Clinic
Samaritan Health Clinic - Depoe Bay
Practice address
531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572
Phone
(541) 765-3265
Fax
(541) 765-3260
NPI assigned
Jan 5, 2007
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Lesley Ogden
Title
Ceo
Phone
(541) 557-6411

Specialties & licenses 1

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

Addresses

Primary practice location

531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572

Mailing address

531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

Other identifiers 1

IdentifierTypeStateIssuer
286726MedicaidOR

Other names 2

  • Samaritan Depoe Bay Clinic Doing business as
  • Samaritan Health Clinic - Depoe Bay 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
O20171208001196 OR Part A Provider - Rural Health Clinic 2466353529 1 other NPI on this enrollment
Practice locations: Depoe Bay, OR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1942357355. 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 388531

Legal name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
SAMARITAN HEALTH CLINIC - DEPOE BAY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 26, 2018
Last certification
Oct 11, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2002 in OR
Enrollment address
531 N Highway 101
Ste a
Depoe Bay, OR 97341-9572
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

National Provider Directory

National Provider Directory

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
Corporate DirectorVice Chair Jan 1, 2023
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
Corporate OfficerCeo Dec 23, 2016
W-2 Managing Employee Dec 23, 2016
Ralph Breitenstein Individual Corporate OfficerSecretary Nov 21, 2013
Corporate DirectorBoard Member Nov 21, 2013
Corporate DirectorSecretary 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 100%
Ursula Marinelli Individual Corporate DirectorBoard Member Apr 1, 2025
Matthew Updenkelder Individual Corporate DirectorBoard Member Apr 1, 2025

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 4

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": "1762128000000",
    "number": "1942357355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101 STE A",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419572",
            "telephone_number": "541-765-3265",
            "fax_number": "541-765-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101 STE A",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419572",
            "telephone_number": "541-765-3265",
            "fax_number": "541-765-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-557-6411"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286726",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Depoe Bay Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Health Clinic - Depoe Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Depoe Bay, OR

Sources for this page

Verify at the official NPI Registry.