| Organization Name: | SANTIAM MEMORIAL HOSPITAL |
| NPI Number: | 1427225192 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNDA M FRASER (CLINIC COORDINATOR) |
| Mailing Address: | 1401 N 10th Ave Suite 200 Stayton |
| State: | OR US |
| Postal Code: | 973831311 |
| Phone Number: | 5037699070 |
| Fax Number: | 5037695416 |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |