| Good Samaritan Regional Medical Center-inpatient Mental Health | |
|
3509 Nw Samaritan Drive Suite 100 Corvallis OR 97330-3766 | |
| (541) 768-5144 | |
| (541) 768-5201 |
| Full Name | Good Samaritan Regional Medical Center-inpatient Mental Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3509 Nw Samaritan Drive Suite 100, Corvallis, Oregon |
| Authorized Official Name and Position | Joseph M Cahill (CEO-GSRMC) |
| Authorized Official Contact | 5417687914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Regional Medical Center-inpatient Mental Health Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-5144 | Good Samaritan Regional Medical Center-inpatient Mental Health 3509 Nw Samaritan Drive Suite 100 Corvallis OR 97330-3766 Ph: (541) 768-5144 |
| NPI Number | 1790904225 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 1557270725 |
|---|---|
| Medicare Enrollment ID | O20030428000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790904225 | NPI | - | NPPES |
| 72652 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 14-1074 (Oregon) | Primary |
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