| Samaritan Pacific Health Services, Inc. | |
|
920 Sw Range Drive Waldport OR 97394-3035 | |
| (541) 563-3197 | |
| Not Available |
| Full Name | Samaritan Pacific Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Sw Range Drive, Waldport, Oregon |
| Authorized Official Name and Position | Lesley Ogden (CEO) |
| Authorized Official Contact | 5419967100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Pacific Health Services, Inc. Po Box 2847 Corvallis OR 97339-2847 Ph: (541) 563-3197 | Samaritan Pacific Health Services, Inc. 920 Sw Range Drive Waldport OR 97394-3035 Ph: (541) 563-3197 |
| NPI Number | 1619047503 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/03/2025 |
| Medicare PECOS PAC ID | 2466353529 |
|---|---|
| Medicare Enrollment ID | O20150512002971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619047503 | NPI | - | NPPES |
| 286758 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
County Of Lincoln Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 S Crestline Dr, Waldport, OR 97394 Phone: 541-265-0471 Fax: 541-650-5662 |