SUBLIMITY MEDICAL CLINIC
NPI 1225225709
Clinic/Center - Primary Care in Sublimity, OR

Active since September 28, 2007CLIA 38D1043424 · Waiver
114 SE CHURCH ST, SUBLIMITY, OR 97385(503) 769-2259 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sublimity Medical Clinic NPPES

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

SUBLIMITY MEDICAL CLINIC (NPI 1225225709) is a healthcare organization registered as a primary care in Sublimity, Oregon and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Lynda Fraser, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1225225709
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSANTIAM MEMORIAL HOSPITAL
Location Address114 SE CHURCH STSublimity, OR 97385-9714
Mailing AddressPo Box 886Sublimity, OR 97385-0886 · (503) 769-2259
Organization SubpartNo
Authorized OfficialLynda FraserClinic Director · (503) 769-9254
Enumeration DateSeptember 28, 2007
Last NPPES UpdateSeptember 28, 2016
✔ NPI 1225225709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
114 SE CHURCH ST, Sublimity, OR 97385

Other Names 1

Doing Business AsSublimity Medical 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)

Sublimity Medical 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 Sublimity Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 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
Nurse Practitioner
NPI 1982910550
114 SE CHURCH ST
Sublimity, OR 97385
(503) 769-2259
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316477797
114 SE CHURCH ST
Sublimity, OR 97385
(503) 769-2259
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568284909
1401 N 10TH AVE
Stayton, OR 97383
(503) 769-9256
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588447569
1401 N 10TH AVE
Stayton, OR 97383
(503) 769-2175
✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1679040026
1401 N 10TH AVE STE 200
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1922364512
1401 N 10TH AVE STE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1700923406
1401 N 10TH AVE SUITE 200
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1760599351
1401 N 10TH AVE SUITE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1619926011
1401 N 10TH AVE STE 200
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts Medicare1.7 mi
Cardiovascular Disease (Cardiology)
NPI 1053745943
1401 N 10TH AVE STE 200
Stayton, OR 97383
(503) 769-9118
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1447491121
1401 N 10TH AVE STE 100
Stayton, OR 97383
(503) 769-6386
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164205142
1401 N 10TH AVE
Stayton, OR 97383
(503) 769-9317
✔ Accepts Medicare1.7 mi
Family Practice
NPI 1417964602
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts Medicare1.7 mi
Orthopedic Surgery
NPI 1295042976
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts Medicare1.7 mi
Orthopedic Surgery
NPI 1386616936
1377 N 10TH AVE
Stayton, OR 97383
(503) 769-8470
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1316940919
1375 N 10TH AVE SUITE B
Stayton, OR 97383
(503) 769-7151
✔ PECOS✔ Accepts Medicare1.7 mi
Podiatry
NPI 1306844022
1369 N 10TH AVE
Stayton, OR 97383
(503) 769-7960
✔ PECOS✔ Accepts Medicare1.7 mi
Obstetrics/Gynecology
NPI 1235457359
1373 N 10TH AVE
Stayton, OR 97383
(503) 769-9522
✔ PECOS✔ Accepts Medicare1.7 mi
General Surgery
NPI 1700415932
1371 N 10TH AVE
Stayton, OR 97383
(503) 769-3785
✔ PECOS✔ Accepts Medicare1.7 mi
General Surgery
NPI 1316442965
1371 N 10TH AVE
Stayton, OR 97383
(503) 769-3785
✔ PECOS✔ Accepts Medicare1.7 mi
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 38D1043424

Sublimity Medical Clinic · Sublimity, OR
Active · expires Nov 14, 2027
CLIA Number38D1043424
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorErin Cramer
Laboratory Phone(503) 769-2259
Laboratory LocationSublimity Medical Clinic114 SE Church St, Sublimity, OR 97385
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 1225225709. It was assigned to this organization in the NPPES registry on September 28, 2007. The provider is doing business as Sublimity Medical Clinic.

Where is Santiam Memorial Hospital located?

Santiam Memorial Hospital is located at 114 SE Church St, Sublimity, OR 97385. The listed phone number is (503) 769-2259.

What is Santiam Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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, 2 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 38D1043424) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santiam Memorial Hospital accept?

Health plans from Providence Health Plan 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 September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.