SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE – NPI #1043838519
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE is a provider located in LEBANON, OR. NPPES has assigned the NPI number 1043838519 to SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE on July 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE” is a dba name, the actual legal business name for this organization is MID-VALLEY HEALTHCARE, INC.. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Jul 29, 2024. 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 MEDICAL GROUP - GERIATRIC MEDICINE below.

NPI Profile for
MID-VALLEY HEALTHCARE, INC.

NPI Number
1043838519
Enumeration Date

(about 6 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
MID-VALLEY HEALTHCARE, INC.
Doing Business As (dba): SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE
Primary location
400 N SANTIAM HWY
LEBANON, OR 97355
Phone: (541) 451-6413 Fax: (541) 812-2041
Mailing address
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone: (541) 451-6413 Fax: (541) 812-2041
Organization Subpart
No
Authorized Official
WENDIE WUNDERWALD
CEO
Phone: (541) 451-7195
Updated
Certification Date
Jul 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

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.