NPIMap

Organization Active NPI

Mid-Valley Healthcare, Inc.

  • Family Medicine Physician
  • Lebanon, OR
National Provider Identifier
1972869121
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MID-VALLEY HEALTHCARE, INC.
Practice address
425 N Santiam Hwy
Lebanon, OR 97355-4361
Phone
(541) 451-7800
NPI assigned
Apr 2, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Becky A Pape
Title
Ceo
Phone
(541) 451-7107

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 29

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

View all 29

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

Practitioners 1

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

Affiliated clinicians 430

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

View all 430

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan Lebanon Community HospitalCCN 381323
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Medicare participation

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

Hospital certification: CCN 381323

Medicare enrollment files
Legal name
MID-VALLEY HEALTHCARE INC
Doing business as
SAMARITAN LEBANON COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2005
Last certification
Jun 8, 2006
Beds
49 (25 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1950 in OR
Enrollment address
525 N Santiam Hwy
Lebanon, OR 97355-4363
Other Hospital Practice Location

All disclosed owners & managing parties 18

Medicare enrollment files

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

NameRoleSinceShare
Robert Adams Individual Corporate DirectorSecretary Jan 1, 2016
Rachel Hankins Individual Corporate DirectorBoard Member Oct 9, 2018
Samaritan Health Services Inc. Organization, Corvallis, OR Non-profit Operational/Managerial Control Jan 1, 1997 100%
Richard C Evans Individual Corporate DirectorGM Chair Jan 1, 2021
Marsha Philpott Individual Corporate DirectorBoard Member Jan 1, 2015
Mirabelle Fernandes Paul Individual Corporate DirectorBoard Member Jan 1, 2025
Loren Roth Individual Corporate DirectorTreasurer Jan 1, 2015
Joseph Cahill Individual Corporate OfficerCeo Dec 15, 2015 100%
W-2 Managing Employee Dec 15, 2015
Andrew Wimer Individual Corporate DirectorBoard Member Jun 25, 2024
Vanessa R Papalazaros Individual Corporate Director Jan 1, 2025
Wendie Wunderwald Individual Corporate DirectorBoard Member Jan 1, 2025
Jennifer Kimberlain Individual Corporate OfficerCeo/Administrator - SLCH Mar 9, 2026
W-2 Managing EmployeeAd; Mar 9, 2026
Operational/Managerial ControlCeo/Administrator - SLCH Mar 9, 2026
Richard C Wopat Individual Corporate DirectorBoard Member Jan 1, 2021
Linn Armstrong Individual Corporate DirectorBoard Member Jan 1, 2016
Randy Springer Individual Corporate DirectorPresident Jan 1, 2017
Brent Kauffman Individual Corporate DirectorBoard Member Jan 1, 2017
Paula M Crone Individual Corporate DirectorBoard Member Dec 11, 2018
Daniel Burton Smith Individual Corporate OfficerVice President Finance/Cfo Apr 24, 2003

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031111000297 OR Part B Supplier - Clinic/Group Practice 2769391523 Receives reassigned benefits from 458 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR; Newport, OR; Halsey, OR; Brownsville, OR
O20061104000140 OR Part a Provider - Critical Access Hospital 2769391523 Receives reassigned benefits from 421 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, OR; Sweet Home, OR

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

425 N Santiam Hwy
Lebanon, OR 97355-4361

Mailing address

425 N Santiam Hwy
Lebanon, OR 97355-4361
Phone (541) 451-7800

Other names 1

NPPES NPI Registry
  • Mid-Valley Medical Plaza Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2012.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1972869121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N SANTIAM HWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554361",
            "telephone_number": "541-451-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N SANTIAM HWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554361",
            "telephone_number": "541-451-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "PAPE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-451-7107"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Valley Medical Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.