# SANTIAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154302214
- **Authorized official:** MRS. MAGGIE A HUDSON MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (503) 769-9236

## Contact information

- **Practice address:** 1401 N 10TH AVE, STAYTON, OR 97383-1485
- **Practice address phone:** (503) 769-9215
- **Mailing address:** 1401 N 10TH AVE, STAYTON, OR 97383-1485
- **Mailing address phone:** (503) 769-2175
- **Mailing address fax:** (503) 769-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 14 0709 | OR | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 09/29/2021
