Active NPI
Benton County
Doing business as Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- BENTON COUNTY
- Doing business as
- Benton County Health Services
- Practice address
- 121 SE Viewmont Ave
Corvallis, OR 97333-1968 - Phone
- (541) 766-3546
- Fax
- (541) 766-6143
- NPI assigned
- Dec 11, 2006
- Last updated
- May 1, 2025
- Organization subpart
- Yes
- Parent organization
- BENTON COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lacey Mollel
- Title
- Health Center Director
- Phone
- (541) 766-6835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
121 SE Viewmont Ave
Corvallis, OR 97333-1968
Mailing address
PO Box 579
Corvallis, OR 97339-0579
Phone (541) 766-3546
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227701 | Medicaid | OR | |
| 700228501 | Other | REGENCE BCBS | |
| 039328000 | Other | REGENCE BCBS |
Other names 3
- Benton County Health Services
- Benton County Health Services - Lincoln Health Center
- Lincoln Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040813000647 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 6709858020 | Practice locations: Corvallis, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982764882. Details of each certification follow.
Federally qualified health center certification: CCN 381882
- Legal name
- BENTON COUNTY
- Doing business as
- BENTON COUNTY HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 18, 2004
- Last certification
- Oct 18, 2004
- Ownership / control type
- For profit – corporation
- Organization structure
- Government
- Incorporated
- Dec 23, 1947 in OR
- Enrollment address
- 121 SE Viewmont Ave
Corvallis, OR 97333-1968
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Lebanon, OR
- NPI 1093997710
6709858020
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Monroe, OR
- NPI 1235299140
6709858020
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Alsea, OR
- NPI 1588046791
6709858020
-
dba Sweet Home Health Center
- Federally Qualified Health Center (FQHC)
- Sweet Home, OR
- NPI 1801278015
6709858020
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
- NPI 1932161361
6709858020
National Provider Directory
National Provider Directory- Part of
- Benton County
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sandra L Smith | W-2 Managing Employee | Sep 1, 2019 | |
| Sherlyn R Dahl | W-2 Managing Employee | Aug 7, 2006 | |
| Benton County | 5% Or Greater Direct Ownership Interest | May 4, 2004 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Lebanon, OR
- NPI 1093997710
5% Or Greater Direct Ownership Interest
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Monroe, OR
- NPI 1235299140
5% Or Greater Direct Ownership Interest
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Alsea, OR
- NPI 1588046791
5% Or Greater Direct Ownership Interest
-
dba Sweet Home Health Center
- Federally Qualified Health Center (FQHC)
- Sweet Home, OR
- NPI 1801278015
5% Or Greater Direct Ownership Interest
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
- NPI 1932161361
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Benton County Health Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 4, 2004 |
| Benton County Health Services | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2004 |
| Benton County Health Services | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2004 |
| Benton County Health Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2015 Jul 1, 2024 |
| Benton County Health Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Lebanon, OR
- NPI 1093997710
Operational/Managerial Control
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Monroe, OR
- NPI 1235299140
5% Or Greater Direct Ownership Interest
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Alsea, OR
- NPI 1588046791
5% Or Greater Direct Ownership Interest
-
dba Sweet Home Health Center
- Federally Qualified Health Center (FQHC)
- Sweet Home, OR
- NPI 1801278015
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
- NPI 1932161361
Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Lebanon, OR
- NPI 1093997710
Benton County
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Monroe, OR
- NPI 1235299140
Benton County
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Alsea, OR
- NPI 1588046791
Benton County
-
dba Sweet Home Health Center
- Federally Qualified Health Center (FQHC)
- Sweet Home, OR
- NPI 1801278015
Benton County
-
dba Benton County Health Services
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
- NPI 1932161361
Benton County
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1982764882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973390579",
"telephone_number": "541-766-3546",
"fax_number": "541-766-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SE VIEWMONT AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331968",
"telephone_number": "541-766-3546",
"fax_number": "541-766-6143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTON COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENTON COUNTY",
"enumeration_date": "2006-12-11",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "MOLLEL",
"authorized_official_first_name": "LACEY",
"authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
"authorized_official_telephone_number": "541-766-6835"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227701",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "700228501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "039328000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Benton County Health Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Benton County Health Services - Lincoln Health Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Lincoln Health Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corvallis, OR
- Benton County
- Benton County
- Benton County (Benton County Health Services)
- Benton County (Benton County Health Services)
- Benton County (Benton County Children & Family Mental Health)
- Benton County Health Department Flexible Housing Subsidy Pool Program
- Autumn Benton, M.ED
- Marcus J Benton, B.ED, CADC I
- Nick C Benton, M.D.
- Lynn A. Bentson, M.D, MACP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.