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SANTIAM INTERNAL MEDICINE CLINIC
NPI 1730426040
Clinic/Center - Rural Health in Stayton, OR

Active since January 07, 2013CLIA 38D0943619 · Waiver
1401 N 10TH AVE, STE 200, STAYTON, OR 97383(503) 769-9455(503) 769-9316 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Santiam Internal Medicine Clinic NPPES

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

SANTIAM INTERNAL MEDICINE CLINIC (NPI 1730426040) is a healthcare organization registered as a rural health in Stayton, Oregon and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Lynda Fraser, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1730426040
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSANTIAM MEMORIAL HOSPITAL
Location Address1401 N 10TH AVE, STE 200Stayton, OR 97383-1311
Mailing Address1401 N 10th Ave Ste 200Stayton, OR 97383-1487 · (503) 769-9455 · Fax (503) 769-9316
Phone(503) 769-9455
Fax(503) 769-9316
Organization SubpartNo
Authorized OfficialLynda FraserClinic Director · (503) 769-9254
Enumeration DateJanuary 7, 2013
Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration
✔ NPI 1730426040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1401 N 10TH AVE, Stayton, OR 97383
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Other Names 1

Doing Business AsSantiam Internal Medicine Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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 38D0943619

Santiam Internal Medicine · Stayton, OR
Active · expires Apr 26, 2027
CLIA Number38D0943619
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorGeorge Matthew Degner MD
Laboratory Phone(503) 769-7151
Laboratory LocationSantiam Internal Medicine1401 N 10th Ave Ste 200, Stayton, OR 97383
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. DAVID J WRIGHT MD
Radiology (Diagnostic Radiology)
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-2175
CRAVEN & WRIGHT MDS PC
Radiology (Diagnostic Radiology)
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-2175
SANTIAM MEMORIAL HOSPITAL
Ambulance
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9215
MRS. KORINNE LYNN MCVEETY RD, LD
Dietitian, Registered
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-4380
DR. CHARLES STRINGHAM M.D.
Emergency Medicine
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-2175
DONNA JEAN GORMLEY RD
Dietitian, Registered
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-4380
PAUL J. NEUMANN, MD, PC
Family Medicine
1401 N 10TH AVE, SUITE 100
STAYTON, OR 97383
Marion County (503) 769-6386
SANTIAM MEMORIAL HOSPITAL
Clinic/Center (Primary Care)
1401 N 10TH AVE, SUITE 200
STAYTON, OR 97383
Marion County (503) 769-9070

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 1730426040. It was assigned to this organization in the NPPES registry on January 7, 2013. The provider is doing business as Santiam Internal Medicine Clinic.

Where is Santiam Memorial Hospital located?

Santiam Memorial Hospital is located at 1401 N 10th Ave Ste 200, Stayton, OR 97383. The listed phone number is (503) 769-9455.

What is Santiam Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Santiam Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0943619) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santiam Memorial Hospital accept?

Health plans from Moda Health Plan, Inc. and 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 October 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.