LEGACY EMANUEL HOSPITAL PBB
NPI 1518258581
Clinic/Center in Portland, OR

NPI Status: Active since April 26, 2011

Contact Information

2801 N GANTENBEIN AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 413-2200
Fax: (503) 413-2756

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  • Organization
  • Clinic/Center

About LEGACY EMANUEL HOSPITAL PBB

This page provides the complete NPI Profile along with additional information for Legacy Emanuel Hospital Pbb, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1518258581 assigned on April 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Legacy Emanuel Hospital Pbb. The authorized official of this NPI record is Scott Johnson (Vp Finance And Interim Cfo)

NPI
1518258581
Provider Legal Name
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
Other Organization Name
LEGACY EMANUEL HOSPITAL PBB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2801 N GANTENBEIN AVE PORTLAND, OR 97227
Location Phone
(503) 413-2200
Location Fax
(503) 413-2756
Mailing Address
PO BOX 4399 PORTLAND, OR 97208
Mailing Phone
(503) 413-3958
Mailing Fax
(503) 413-2756
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-26-2011
Last Update Date
04-26-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT JOHNSON

Authorized Official Title
VP FINANCE AND INTERIM CFO
Authorized Official Phone
(503) 415-5730

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
380007MEDICARE OSCAR/CERTIFICATION (06)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518258581
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25284516516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 4 + 5 + 1 + 6 + 5 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1518258581 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265413041 JAMES LINDSAY MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4394
1568443331 PETER QUINT MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-2794
1568437960 SHARON D BUTCHER PNP
Individual
Nurse Practitioner (Pediatrics)2801 N GANTENBEIN AVE STE 2225
PORTLAND, OR 97227
(503) 413-4505
1730154618DR. JANICE L. COCKRELL MD
Individual
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)2801 N GANTENBEIN AVE SUITE 2225
PORTLAND, OR 97227
(503) 413-4505
1982670782DR. SAROJINI S BUDDEN MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)2801 N GANTENBEIN AVE SUITE 2225
PORTLAND, OR 97227
(503) 413-4505
1467412239 CHARLES DAVID CULBERTSON D.O.
Individual
Hospitalist2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-6205
1891757043MR. SIK KIYOSHI KIM MD
Individual
Obstetrics & Gynecology2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4278
1053374611 ANN MARIE LOEFFLER MD
Individual
Pediatrics (Pediatric Infectious Diseases)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-2042
1851354823DR. JOHN WILLIAM PAISLEY M.D.
Individual
Pediatrics (Pediatric Infectious Diseases)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4958
1225093131DR. AMY ELIZABETH PAGE M.D.
Individual
Internal Medicine2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-8407
1699729632 SCOTT W. FLECK PA
Individual
Physician Assistant (Medical)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4121
1013954189NORTHWEST PEDIATRIC CRITICAL CARE PC
Organization
Pediatrics (Pediatric Critical Care Medicine)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-2794
1548200355 FREDERICK N HEGGE MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1437199254 JOHN GUSTAVSSON MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1689615056 RICHARD B HESLA MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1427092907 ANDREW W KAPLAN MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1205870466 RANDY H GREENE MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1972547057 WILLIAM G BENNETT MD
Individual
Radiology (Diagnostic Radiology)2801 N GANTENBEIN AVE
PORTLAND, OR 97227
(503) 413-4032
1043246838 ELLEN B STEVENSON MD
Individual
Hospitalist2801 N GANTENBEIN AVE DEPARTMENT OF PEDIATRICS, LEGACY EMANUEL HOSPITAL
PORTLAND, OR 97227
(503) 413-2402
1831116862 TAMMY ALYCE HESKETT MD
Individual
Pediatrics2801 N GANTENBEIN AVE DEPT OF PEDIATRICS
PORTLAND, OR 97227
(503) 413-2042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518258581, enumerated in the NPI registry as an "organization" on April 26, 2011

The provider is located at 2801 N Gantenbein Ave Portland, Or 97227 and the phone number is (503) 413-2200

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 26, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.