SANTIAM INTERNAL MEDICINE CLINIC
NPI 1730426040
Clinic/Center - Rural Health in Stayton, OR
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
Specialties & Licenses 2
Other Names 1
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)
Santiam Internal Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
151Medicare enrollment records show 151 clinicians reassign Medicare billing to Santiam Internal Medicine Clinic, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 151Source: 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 38D0943619
Santiam Internal Medicine · Stayton, ORFrequently 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.
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, 18 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Santiam Internal Medicine Clinic · NPI 1730426040
Rural Health organization in Stayton, Oregon. Organization record, active in the CMS NPPES registry since January 7, 2013.
## Identity
- **NPI:** 1730426040 (Entity type: Organization)
- **Enumerated:** January 7, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Santiam Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Lynda Fraser, CLINIC DIRECTOR
## Practice location
- **Address:** 1401 N 10TH AVE, STE 200, Stayton, OR 97383-1311
- **Phone:** (503) 769-9455 · **Fax:** (503) 769-9316
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 151 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (27), Certified Registered Nurse Anesthetist (CRNA) (24), Nurse Practitioner (22); 18 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1730426040/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730426040) · Data from the CMS NPPES public registry.