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Organization

MID-VALLEY HEALTHCARE, INC.

Active
Other names
Park Street Clinic, Samaritan Health Clinic - Park St.
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL RACKHAM (CEO - SLCH)
(541) 451-7914
Entity
Organization

Contact information

Practice address
325 PARK ST, LEBANON, OR 97355-4229
(541) 451-7200
Mailing address
325 PARK ST, LEBANON, OR 97355-4229
(541) 451-7200

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500651505
OR
Enumeration date
04/12/2012
Last updated
12/08/2025
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