NPIMap

Organization Active NPI

Good Samaritan Hospital Corvallis

  • General Acute Care Hospital
  • Corvallis, OR
National Provider Identifier
1962453134
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14 1074 Issued in OR
Legal business name
GOOD SAMARITAN HOSPITAL CORVALLIS
Practice address
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone
(541) 768-5111
NPI assigned
May 13, 2006
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITAL CORVALLISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Josiah Johnson
Title
Ceo - Gsrmc
Phone
(541) 768-5009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 14 1074 OR
General Acute Care Hospital 282N00000X 14 1074 OR Primary

Addresses

Primary practice location

3600 NW Samaritan Dr
Corvallis, OR 97330-5472

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-5111

Other identifiers 1

IdentifierTypeStateIssuer
500400202MedicaidOR

Other names 2

  • Good Samaritan Regional Medical Center Doing business as
  • Samaritan Radiation Oncology - Corvallis Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030319000024 OR Part A Provider - Hospital 1557270725 20 other NPIs on this enrollment
Practice locations: Corvallis, OR
O20031125000163 OR Part B Supplier - Clinic/Group Practice 1557270725 Receives reassigned benefits from 589 practitioners
Practice locations: Corvallis, OR; Albany, 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
CorporationNon-profit
Incorporated
Dec 8, 1948 in OR
Enrollment address
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 20

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

View all 20

Care Compare: Hospital

Medicare Care Compare
Listed as
Good Samaritan Regional Medical CenterCCN 380014
Overall star rating
3 of 5
Type
Acute Care 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
38D0626046Good Samaritan Regional Medical Center Lab3600 NW Samaritan Drive, Corvallis, OR 97330AccreditationDec 31, 2027
38D2201261Good Samaritan Regional Medical Center LDRP3600 NW Samaritan Drive, Corvallis, OR 97330Provider-performed microscopyNov 18, 2026

National Provider Directory

National Provider Directory
Part of
Good Samaritan Regional Med

Ownership & related parties

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 DirectorBoard Member Jan 1, 2021
Becky Pape Individual Corporate DirectorBoard Member Jan 1, 2025
Joseph Cahill Individual Corporate OfficerCeo Aug 1, 2024
W-2 Managing EmployeeCeo Aug 1, 2024
Nancy Seifert Individual Corporate OfficerChair Nov 2, 2010
Corporate DirectorBoard Member Nov 2, 2010
Kelly Gallagher Individual Corporate DirectorSecretary Apr 23, 2018
Lyle Hutchens Individual Corporate DirectorBoard Member Jan 1, 2016
Richard Cronk Individual Corporate OfficerTreasurer Jan 1, 1998
Corporate DirectorBoard Member Jan 1, 1998
Tim Hennessy Individual Corporate DirectorBoard Member Nov 2, 2011
Steve Uerlings Individual Corporate DirectorBoard Member Apr 23, 2013
Josiah S Johnson Individual Corporate OfficerCeo-Gsrmc Dec 2, 2024
W-2 Managing EmployeeCeo-Gsrmc Dec 2, 2024
Operational/Managerial ControlCeo-Gsrmc Dec 2, 2024
Eric Thompson Individual Corporate DirectorBoard Member Jan 1, 2001
Surinder M Vasdev Individual Corporate DirectorBoard Member Aug 20, 2024
David Marshall Individual Corporate DirectorBoard Member Aug 1, 2024

Owners & managing parties with NPI records 2

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

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 641

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

View all 641

Affiliated clinicians 617

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

View all 617

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1962453134",
    "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": "541-768-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305472",
            "telephone_number": "541-768-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_title_or_position": "CEO - GSRMC",
        "authorized_official_telephone_number": "541-768-5009"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OR",
            "license": "14 1074",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14 1074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500400202",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Radiation Oncology - Corvallis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.