SAMARITAN TREATMENT & RECOVERY SERVICES (RESIDENTIAL)
NPI 1669000865
Substance Abuse Rehabilitation Facility in Lebanon, OR

NPI Status: Active since April 01, 2020

Contact Information

111 N MAIN ST STE B
LEBANON, OR
ZIP 97355
Phone: (541) 451-6388

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 38D2320437
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-17-2027

About SAMARITAN TREATMENT & RECOVERY SERVICES (RESIDENTIAL)

This page provides the complete NPI Profile along with additional information for Samaritan Treatment & Recovery Services (residential), a provider established in Lebanon, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1669000865 assigned on April 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Samaritan Treatment & Recovery Services (residential). The authorized official of this NPI record is Mr. Joseph M. Cahill Iii (Ceo)

NPI
1669000865
Provider Legal Name
MID-VALLEY HEALTHCARE, INC.
Other Organization Name
SAMARITAN TREATMENT & RECOVERY SERVICES (RESIDENTIAL)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
111 N MAIN ST STE B LEBANON, OR 97355
Location Phone
(541) 451-6388
Mailing Address
PO BOX 1193 CORVALLIS, OR 97339
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-01-2020
Last Update Date
06-24-2020
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*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

MR. JOSEPH M. CAHILL III

Authorized Official Title
CEO
Authorized Official Phone
(541) 602-4907

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
38D2320437
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
March 18, 2025
Certificate Expiration Date
March 17, 2027
Laboratory Director
DAVID SIMMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Samaritan Treatment & Recovery Services (residential) 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.

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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 1669000865, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 6 → 12 → 3 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 0 + 0 + 0 + 8 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669000865.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
111 N MAIN ST STE B
LEBANON, OR 97355
Counselor (Addiction (Substance Use Disorder))
111 N MAIN ST STE B
LEBANON, OR 97355
Peer Specialist
111 N MAIN ST STE B
LEBANON, OR 97355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669000865, enumerated as an "organization" on April 01, 2020.

The provider is located at 111 N MAIN ST STE B LEBANON, OR 97355 and the phone number is (541) 451-6388.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Providence Health Plan. Please consult your insurance carrier or call the provider to verify.