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Organization

MID-VALLEY HEALTHCARE, INC.

Active
Other names
Samaritan Health Clinic - Lebanon Medical Plaza
Organization subpart
No

Provider details

NPI number
Authorized official
WENDIE WUNDERWALD (CEO)
(541) 451-7195
Entity
Organization

Contact information

Practice address
425 N SANTIAM HWY, LEBANON, OR 97355-4361
(541) 451-6960
(541) 918-5419
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
(541) 451-6960

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500651908
OR
Enumeration date
04/02/2012
Last updated
06/10/2024
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