Organization
ALBANY GENERAL HOSPITAL
Active
Other names
Samaritan Internal Medicine - Albany
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TRIEBES (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
1086 7TH AVE SW, SUITE 101, ALBANY, OR 97321-1997
(541) 812-3349
(541) 812-3342
Mailing address
PO BOX 1188, ALBANY, OR 97321-1188
(541) 812-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651439
—
OR
01
—
R0000ZGBCT
MEDICARE PART B
OR
Enumeration date
03/06/2012
Last updated
01/27/2015
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