Healthcare Provider Details

I. General information

NPI: 1124384383
Provider Name (Legal Business Name): SAMARITAN NORTH LINCOLN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NW HIGHWAY 101 SUITE B
LINCOLN CITY OR
97367-3241
US

IV. Provider business mailing address

825 NW HIGHWAY 101 SUITE B
LINCOLN CITY OR
97367-3241
US

V. Phone/Fax

Practice location:
  • Phone: 541-557-6477
  • Fax:
Mailing address:
  • Phone: 541-557-6477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH M CAHILL III
Title or Position: CEO
Credential:
Phone: 541-996-6441