Provider Demographics
NPI:1033475298
Name:SAMARITAN NORTH LINCOLN HOSPITAL
Entity Type:Organization
Organization Name:SAMARITAN NORTH LINCOLN HOSPITAL
Other - Org Name:SAMARITAN NORTH LINCOLN MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:541-996-6441
Mailing Address - Street 1:2930 NE WEST DEVILS LAKE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-5195
Mailing Address - Country:US
Mailing Address - Phone:541-996-7111
Mailing Address - Fax:
Practice Address - Street 1:2930 NE WEST DEVILS LAKE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-5195
Practice Address - Country:US
Practice Address - Phone:541-996-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty