# MID-VALLEY HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan OMT Lebanon, Samaritan Lebanon Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699063784
- **Authorized official:** JOSEPH M CAHILL (CEO)
- **Authorized official phone:** (541) 557-6441

## Contact information

- **Practice address:** 675 N 5TH ST, LEBANON, OR 97355-2875
- **Practice address phone:** (541) 451-6410
- **Mailing address:** 675 N 5TH ST, LEBANON, OR 97355-2875
- **Mailing address phone:** (541) 451-7991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 11/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | IP-0002226-CS | OR BOARD OF PHARMACY | OR |