Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
Samaritan Family Medicine - Main St., Main Street Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RACKHAM (CEO - SLCH)
(541) 451-7914
Entity
Organization
Contact information
Practice address
191 N MAIN ST, LEBANON, OR 97355-2870
(541) 451-7940
Mailing address
191 N MAIN ST, LEBANON, OR 97355-2870
(541) 451-7940
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651455
—
OR
Enumeration date
04/02/2012
Last updated
12/08/2025
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