Samaritan Firstcare Physicians

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD24253 Issued in OR

Legal business name

SAMARITAN FIRSTCARE PHYSICIANS

Practice address

400 NW Hickory Ave
300
Albany, OR 97321-1700

Phone

(541) 812-5700

NPI assigned

Jan 8, 2009

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Mid-Valley Internal Medicine & Pediatrics Doing business as

Tax ID family

Geary Street Clinic2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Geary Street Clinic

  • Non-Pharmacy Dispensing Site
  • Albany, OR
  • NPI 1265574321
  NPD tax ID

Locations

Practitioners 1

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

• Erik Rueckert, DO

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1295128619
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1992942221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW HICKORY AVE",
            "address_2": "300",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211700",
            "telephone_number": "541-812-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN FIRSTCARE PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2009-01-08",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OR",
            "license": "MD24253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Mid-Valley Internal Medicine & Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cydne Salisbury, DPT
• Dana P. Salisbury, M.D.
• Hannah Salo
• Michael Saltzman, MD
• Aaron Daniel Salzano, OD
• Samaritan Health Services
• Samaritan Health Services, Inc.
• Samaritan Integrative Medicine, LLC
• Samaritan Open MRI LLC
• Sergio Alejandro Sanchez Carrasco

• Non-Pharmacy Dispensing Site in Albany, OR
• Providers in Albany, OR by specialty
• Non-Pharmacy Dispensing Site in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.