Organization
SANTIAM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BRAINARD (DIRECTOR OF MEDICAL RECORDS)
(503) 769-9215
Entity
Organization
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-9215
(503) 769-5312
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-9215
(503) 769-5312
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
38U0056
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120
—
OR
Enumeration date
12/19/2006
Last updated
08/22/2020
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