Albany General Hospital
Organization Active NPI Family Medicine Physician · Albany, OR
NPI 1972879518 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1972879518
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALBANY GENERAL HOSPITAL
- Practice address
- 1700 Geary St SE Suite 200 300a
Albany, OR 97322-6842 - Phone
- (541) 812-5500
- NPI assigned
- Mar 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Rackham
- Title
- Ceo-SLCH
- Phone
- (541) 451-7147
Owners & managing parties with NPI records 6
-
Seth K Arrow, MD
-
April Jensen, D.O.
-
Scott A. Schindell, M.D.
-
Brian Summers, DMD
-
John R. Ward Jr., M.D.
Other NPIs on the same Medicare enrollment 33
Practitioners 20
-
Robert A Abernathy, M.D.
-
Karen Fleenor Bunn, M.D.
-
Aaron Lee David, DO
-
Brent Didier, DO
-
Zeenat Gonzalez, FNP
-
Scott M Grupas, DO
-
Xiaotian Hu, PHD
-
Kristy Lane Jessop, M.D.
-
John Allen Oaks, CRNA
-
Faullin Paletsky, M.D.
-
Vanessa Papalazaros, M.D.
-
Marie A. Ray, M.D.
-
Tyson Summers, CRNA
-
Nicholas Steven Tedesco, D.O.
-
Fredrick W. Weisensee, M.D.
-
Amanda Nichole Eckersley, APRN
-
Rachel Ann Elsasser, D.O.
Affiliated clinicians 547
-
Mary Abraham, MD
-
Bryce Andrew Allio, M.D.
-
Holly T Almond, NP
-
Ahmed Alshaarawi, CRNA
-
Charles Kellogg Anderson, M.D.
-
Tim Arakawa, MD, PHD
-
Lisa Rene Araneta, PA-C
-
Ivan Augusto Arenas, M.D.,PHD
-
Leslie Ann Arpin, M.D.
-
Brian D Ashdown, DPM
-
Abinet Ashine, M.D.
-
Steven Astengo, DO
-
Juliette Roldan Asuncion, D.O.
-
Frederic Nathan Bahnson, M.D.
-
Hannah Rasma Balduff, PA-C
-
Nathan Daniel Barlow, PA-C
Medicare Care Compare: Hospital
- Listed as
- Samaritan Albany General Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Hospital certification: CCN 380022
- Legal name
- ALBANY GENERAL HOSPITAL
- Doing business as
- SAMARITAN ALBANY GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 7, 2010
- Beds
- 79
- Ownership / control type
- Church
- Most recent change of ownership
- Jan 1, 2000 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 12, 1925 in OR
- Enrollment address
- 1046 6TH Ave SW
Albany, OR 97321-1916 - Hospital subgroups
- General
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| John R Ward |
Corporate Director |
Jan 1, 2018 | |
| Brian R Summers |
Corporate Director | Dec 1, 2019 | |
| Seth K Arrow |
Corporate Director |
Jan 1, 2024 | |
| Stacy Koos |
Corporate Officer |
Jan 1, 2018 | |
| Corporate Director |
Jan 1, 2017 | ||
| Samaritan Health Services Inc. |
Operational/Managerial Control | Jan 1, 2000 | 100% |
| Kristal Dufour |
Corporate Director |
Jan 1, 2023 | |
| Daniel Keteri |
Corporate Officer |
Jun 1, 2019 | |
| Operational/Managerial Control |
Jun 1, 2019 | ||
| Scott a Schindell |
Corporate Director |
Jan 1, 2025 | |
| Karsen O'Bryan |
Corporate Director |
Jan 1, 2025 | |
| Paul M Greaves |
Corporate Director |
Jan 1, 2023 | |
| April Grace Jensen |
Corporate Director |
Jan 1, 2023 | |
| Rick Kenyon |
Corporate Director |
Jan 1, 2018 | |
| Stacie Lafollette |
W-2 Managing Employee |
Jan 1, 2022 | |
| Daniel Burton Smith |
Corporate Officer |
Jan 1, 2000 | |
| Operational/Managerial Control |
Jan 1, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000310 | OR | Part B Supplier - Clinic/Group Practice | 9931097987 |
Receives reassigned benefits from 473 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, OR |
| O20050214000492 | OR | Part a Provider - Hospital | 9931097987 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, OR; Corvallis, OR |
National Provider Directory
Locations
1700 Geary St SE
Ste 200
Albany, OR 97322
Phone (541) 812-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1700 Geary St SE Suite 200 300a
Albany, OR 97322-6842
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-4410
Other names
- Samaritan Family Medicine - Geary St
Other providers in Albany, OR
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hospital
- Albany General Hosptial
- Albany Odent LLC
- Albany Specialty Care LLC
- Albany Vision Care, PC
- Albertsons LLC
All providers in Albany, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.