OrganizationActive
Mid-Valley Healthcare, Inc.
NPI 1427315662 · Rural Health Clinic/Center · Lebanon, OR
Provider details
- NPI number
- 1427315662
- 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
Practice location
325 Park St
Lebanon, OR 97355-4229
Phone: (541) 451-7200
Approximate (ZIP-level) locationGet directions
Mailing address
325 Park St
Lebanon, OR 97355-4229
Other names (DBA / former)
- Doing business as
- Park Street Clinic
- Doing business as
- Samaritan Health Clinic - Park St.
Registry dates
- Enumerated
- 2012-04-12
- 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.