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

Q: 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.

Q: 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.

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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 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

Phone(503) 769-9522

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

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Other Names 1

Doing Business AsSantiam Women's Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Expired · Jul 28, 2026

CLIA Number38D2010555

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 29, 2024

Certificate Expiration DateJuly 28, 2026

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ELLEN WAGNER MD

Obstetrics & Gynecology