SANTIAM WOMEN'S CLINIC
NPI 1063731271
Clinic/Center - Medical Specialty in Stayton, OR

Active since May 27, 2010CLIA 38D2010555 · Waiver
1373 N 10TH AVE, STAYTON, OR 97383(503) 769-9522(503) 769-9530 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Santiam Women's Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTIAM WOMEN'S CLINIC (NPI 1063731271) is a healthcare organization registered as a medical specialty in Stayton, Oregon and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through July 28, 2028 and lists Lynda Fraser, Clinic Coordinator, as its authorized official.

NPPES Registry Identity

NPI1063731271
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSANTIAM MEMORIAL HOSPITAL
Location Address1373 N 10TH AVEStayton, OR 97383
Mailing Address1373 N 10th AveStayton, OR 97383-2037 · (503) 769-9522 · Fax (503) 769-9530
Fax(503) 769-9530
Organization SubpartNo
Authorized OfficialLynda FraserClinic Coordinator · (503) 769-9254
Enumeration DateMay 27, 2010
Last NPPES UpdateJune 26, 20182 updates tracked since enumeration
✔ NPI 1063731271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1373 N 10TH AVE, Stayton, OR 97383

Other Names 1

Doing Business AsSantiam Women's Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santiam Women's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

151

Medicare enrollment records show 151 clinicians reassign Medicare billing to Santiam Women's Clinic, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Diagnostic Radiology27
Certified Registered Nurse Anesthetist (CRNA)24
Nurse Practitioner22
Emergency Medicine21
Family Practice14
General Surgery7
Internal Medicine7
Hospitalist5
11 other specialties24

Nearest to this location (20)

See all 151
Obstetrics/Gynecology
NPI 1235457359
1373 N 10TH AVE
Stayton, OR 97383
(503) 769-9522
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1316442965
1371 N 10TH AVE
Stayton, OR 97383
(503) 769-3785
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1770545477
1371 N 10TH AVE
Stayton, OR 97383
(503) 769-3785
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1700415932
1371 N 10TH AVE
Stayton, OR 97383
(503) 769-3785
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316940919
1375 N 10TH AVE SUITE B
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1306844022
1369 N 10TH AVE
Stayton, OR 97383
(503) 769-7960
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1942346994
1369 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417964602
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1386616936
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1295042976
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619568219
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619926011
1401 N 10TH AVE STE 200
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1053745943
1401 N 10TH AVE STE 200
Stayton, OR 97383
(503) 769-9118
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447491121
1401 N 10TH AVE STE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083502611
1401 N 10TH AVE
Stayton, OR 97383
(541) 852-2746
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164205142
1401 N 10TH AVE
Stayton, OR 97383
(503) 769-9317
✔ Accepts MedicareSame address
Internal Medicine
NPI 1922364512
1401 N 10TH AVE STE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700923406
1401 N 10TH AVE SUITE 200
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760599351
1401 N 10TH AVE SUITE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588447569
1401 N 10TH AVE
Stayton, OR 97383
(503) 769-2175
✔ Accepts MedicareSame address
See all 151 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2010555

Santiam Women's Clinic · Stayton, OR
Active · expires Jul 28, 2028
CLIA Number38D2010555
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 29, 2026
Certificate Expiration DateJuly 28, 2028
Laboratory DirectorAmanda Wagner
Laboratory Phone(503) 769-9522
Laboratory LocationSantiam Women's Clinic1373 N 10th Ave, Stayton, OR 97383
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santiam Memorial Hospital's NPI number?

The NPI number for Santiam Memorial Hospital is 1063731271. It was assigned to this organization in the NPPES registry on May 27, 2010. The provider is doing business as Santiam Women's Clinic.

Where is Santiam Memorial Hospital located?

Santiam Memorial Hospital is located at 1373 N 10th Ave, Stayton, OR 97383. The listed phone number is (503) 769-9522.

What is Santiam Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Santiam Memorial Hospital enrolled in Medicare?

Yes. Santiam Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santiam Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 151 clinicians in 19 Medicare specialties reassign their Medicare billing to Santiam Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (27), Certified Registered Nurse Anesthetist (CRNA) (24) and Nurse Practitioner (22). Of these, 22 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Santiam Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2010555) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santiam Memorial Hospital accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Santiam Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Santiam Memorial Hospital was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.