SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE – NPI #1376691436
Clinic/Center

SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE is an AHC clinic located in CORVALLIS, OR. NPPES has assigned the NPI number 1376691436 to SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE on January 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE” is a dba name, the actual legal business name for this organization is SAMARITAN DIALYSIS SERVICES LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE below.

NPI Profile for
SAMARITAN DIALYSIS SERVICES LLC

NPI Number
1376691436
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMARITAN DIALYSIS SERVICES LLC
Doing Business As (dba): SAMARITAN DIALYSIS SERVICES LLC CORVALLIS SITE
Primary location
3580 NW SAMARITAN DRIVE
CORVALLIS, OR 97330
Phone: (541) 768-5182 Fax: (541) 768-5183
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN JASPERSON
CEO
Phone: (541) 768-5009
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 OR 17-0008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.