Organization Name: | SANTIAM MEMORIAL HOSPITAL |
NPI Number: | 1780916478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNDA 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: | 02/04/2010 |
NPI Last Update Date: | 02/04/2010 |
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: |