| Santiam Memorial Hospital | |
|
114 Se Church St Sublimity OR 97385-9714 | |
| (503) 769-2259 | |
| (503) 769-8049 |
| Full Name | Santiam Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Se Church St, Sublimity, 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 886 Sublimity OR 97385-0886 Ph: (503) 769-2259 | Santiam Memorial Hospital 114 Se Church St Sublimity OR 97385-9714 Ph: (503) 769-2259 |
| NPI Number | 1518354547 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 6103729751 |
|---|---|
| Medicare Enrollment ID | O20150209001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518354547 | 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: 114 Se Church St, Sublimity, OR 97385 Phone: 503-769-2259 | |
Cascadia Behavioral Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11656 Sublimity Rd Se, Sublimity, OR 97385 Phone: 503-238-0769 Fax: 503-889-2599 |