OrganizationActive
Mid-Valley Healthcare, Inc.
NPI 1154687309 · Rural Health Clinic/Center · Lebanon, OR
Provider details
- NPI number
- 1154687309
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Rackham, Ceo - Slch(541) 451-7914
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
191 N Main St
Lebanon, OR 97355-2870
Phone: (541) 451-7940
Street-level locationGet directions
Mailing address
191 N Main St
Lebanon, OR 97355-2870
Other names (DBA / former)
- Doing business as
- Main Street Family Medicine
- Doing business as
- Samaritan Family Medicine - Main St.
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.