# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Pharmacy - 30th Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710673116
- **Authorized official:** JOSEPH M CAHILL (CEO-GSRMC)
- **Authorized official phone:** (541) 768-7914

## Contact information

- **Practice address:** 845 SW 30TH ST STE 201, CORVALLIS, OR 97331-8629
- **Practice address phone:** (541) 768-7850
- **Mailing address:** PO BOX 1189, CORVALLIS, OR 97339-1189
- **Mailing address phone:** (541) 768-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 07/30/2024