Organization
SANTIAM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE A HUDSON MBA (CHIEF EXECUTIVE OFFICER)
(503) 769-9236
Entity
Organization
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1485
(503) 769-9215
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1485
(503) 769-2175
(503) 769-5877
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14 0709
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120
—
OR
Enumeration date
11/07/2005
Last updated
09/29/2021
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