SAMARITAN HEALTH SERVICES
NPI 1114469103
Clinic/Center - Health Service in Albany, OR

NPI Status: Active since November 08, 2016

Contact Information

620 ELM ST SW # 2
ALBANY, OR
ZIP 97321
Phone: (541) 812-4839

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 38D2192425
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-09-2026

About SAMARITAN HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Samaritan Health Services, a provider established in Albany, Oregon operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1114469103 assigned on November 2016. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Jonathan Douglas Wymore Rd, Ld (Registered Dietitian)

NPI
1114469103
Provider Name
SAMARITAN HEALTH SERVICES
Entity Type
Organization
Location Address
620 ELM ST SW # 2 ALBANY, OR 97321
Location Phone
(541) 812-4839
Mailing Address
117 SW 4TH ST APT 2 CORVALLIS, OR 97333
Mailing Phone
(541) 232-9615
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2016
Last Update Date
11-08-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282N00000XHospitals

General Acute Care Hospital

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONATHAN DOUGLAS WYMORE RD, LD

Authorized Official Title
REGISTERED DIETITIAN
Authorized Official Phone
(541) 232-9615

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
86065504OTHER (01)COMMISION ON DIETETIC REGISTRATION
LDD10175002OTHER (01)OROREGON DIETETIC LICENSURE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2192425
Facility Type
Hospital
Certificate Effective Date
September 10, 2024
Certificate Expiration Date
September 09, 2026
Laboratory Director
RIAN PFUND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Samaritan Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SAMARITAN HEALTH SERVICES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114469103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 8 + 6 + 1 + 8 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114469103.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
620 ELM ST SW # 2
ALBANY, OR 97321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114469103, enumerated as an "organization" on November 08, 2016.

The provider is located at 620 ELM ST SW # 2 ALBANY, OR 97321 and the phone number is (541) 812-4839.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.