| Santiam Memorial Hospital | |
|
280 S 1st Ave Mill City OR 97360-0003 | |
| (503) 897-4100 | |
| (503) 897-2673 |
| Full Name | Santiam Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 S 1st Ave, Mill City, Oregon |
| Authorized Official Name and Position | Maggie Hudson (COO / CFO) |
| Authorized Official Contact | 5037699236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santiam Memorial Hospital Po Box 47 Mill City OR 97360-0047 Ph: (503) 897-4100 | Santiam Memorial Hospital 280 S 1st Ave Mill City OR 97360-0003 Ph: (503) 897-4100 |
| NPI Number | 1396131389 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Medicare PECOS PAC ID | 6103729751 |
|---|---|
| Medicare Enrollment ID | O20150209001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396131389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Santiam Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 S First Ave, Mill City, OR 97360 Phone: 503-897-4100 Fax: 503-897-2673 |