SAMARITAN PALLIATIVE CARE
NPI 1700280674
Family Medicine - Hospice and Palliative Medicine in Albany, OR

NPI Status: Active since October 21, 2014

Contact Information

631 ELM ST SW STE 200&205
ALBANY, OR
ZIP 97321
Phone: (541) 812-5020

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  • Organization
  • Family Medicine
  • Hospice and Palliative Medicine
  • Accepts Insurance
  • CLIA Number: 38D0936719
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-30-2026

About SAMARITAN PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Samaritan Palliative Care, a provider established in Albany, Oregon operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1700280674 assigned on October 2014. The practitioner's primary taxonomy code is 207QH0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Samaritan Palliative Care. The authorized official of this NPI record is Mr. Daniel Keteri (Ceo)

NPI
1700280674
Provider Legal Name
ALBANY GENERAL HOSPITAL
Other Organization Name
SAMARITAN PALLIATIVE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
631 ELM ST SW STE 200&205 ALBANY, OR 97321
Location Phone
(541) 812-5020
Mailing Address
PO BOX 1188 CORVALLIS, OR 97339
Mailing Phone
(541) 768-4410
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2014
Last Update Date
08-09-2024
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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

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
License State
OR
Taxonomy Description
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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
  • 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

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

MR. DANIEL KETERI

Authorized Official Title
CEO
Authorized Official Phone
(541) 812-4102

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
500679757MEDICAID (05)OR 

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
38D0936719
Facility Type
Community Clinic
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
DR. KRISTY JESSOP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Samaritan Palliative Care 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 PALLIATIVE CARE

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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 1700280674, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 0 → 0 2 → 4 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 4 + 8 + 0 + 6 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1700280674.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Social Worker
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Psychologist
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Internal Medicine
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Family Medicine (Hospice and Palliative Medicine)
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Social Worker (Clinical)
631 ELM ST SW STE 200&205
ALBANY, OR 97321
Family Medicine
631 ELM ST SW STE 200&205
ALBANY, OR 97321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700280674, enumerated as an "organization" on October 21, 2014.

The provider is located at 631 ELM ST SW STE 200&205 ALBANY, OR 97321 and the phone number is (541) 812-5020.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.

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