PROVIDENCE HEALTH & SERVICES OREGON
NPI 1417978164
Skilled Nursing Facility in Mount Angel, OR

Active since July 21, 2006
540 S MAIN ST, MOUNT ANGEL, OR 97362(503) 845-6841(503) 845-9229 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Jan 28, 2022, Jul 2, 2020 (3 updates tracked since 2020).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1417978164), doing business as Providence Benedictine Nursing Center, is a healthcare organization registered as a skilled nursing facility in Mount Angel, Oregon and active in the NPI registry since July 2006. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1417978164
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address540 S MAIN STMount Angel, OR 97362-9540
Mailing Address540 S Main StMount Angel, OR 97362-9540 · (503) 845-6841 · Fax (503) 845-9229
Fax(503) 845-9229
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1417978164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OR · 385018
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 385018 (OR)
540 S MAIN ST, Mount Angel, OR 97362

Other Names 1

Doing Business AsProvidence Benedictine Nursing Center

Other Identifiers 1

Medicaid800006OR

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
540 S MAIN ST
MOUNT ANGEL, OR 97362
Physical Therapist
540 S MAIN ST, PROVIDENCE BENEDICTINE REHAB DPT
MOUNT ANGEL, OR 97362
Case Manager/Care Coordinator
540 S MAIN ST
MOUNT ANGEL, OR 97362
Occupational Therapist
540 S MAIN ST
MOUNT ANGEL, OR 97362
Physical Therapist
540 S MAIN ST
MOUNT ANGEL, OR 97362
Occupational Therapist
540 S MAIN ST
MOUNT ANGEL, OR 97362
Occupational Therapist
540 S MAIN ST
MOUNT ANGEL, OR 97362
Physical Therapist (Geriatrics)
540 S MAIN ST
MOUNT ANGEL, OR 97362

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 Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1417978164. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Providence Benedictine Nursing Center.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 540 S Main St, Mount Angel, OR 97362. The listed phone number is (503) 845-6841.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Providence Health & Services Oregon accept?

Health plans from Kaiser Permanente and Providence Health Plan list Providence Health & Services Oregon 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 Providence Health & Services Oregon was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.