MEDICARE: GOOD SAMARITAN HOSPITAL CORVALLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1447361514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SAMARITAN HOSPITAL CORVALLIS

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:	541-768-5360
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 NW ELKS DR STE 201
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97330-3744
Country	:	US
Telephone Number	:	541-768-5360
Fax Number	:

Authorized Official
Title or Position	:	CEO GSRMC
Name	:	JOSEPH M CAHILL III
Credential	:
Telephone Number	:	541-768-7914

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/30/2024

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Directions to “GOOD SAMARITAN HOSPITAL CORVALLIS ” Practice Location

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