LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER (NPI# 1942223482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942223482 |
| Entity Type | Organization |
| Organization Name | LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER |
| Practice Address |
1015 Nw 22nd Ave Portland OR 97210-3025 |
| Mailing Address |
Po Box 4037 Portland OR 97208-4037 |
| Practice Telephone | 5034137711 |
| Mailing Telephone | 5034134048 |
| Mailing Fax Number | 5034134449 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | SARAH JENSEN (INTERIM CFO) |
| Authorized Official Telephone | 5034155145 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 14-0027 | OR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1022717 | 05 | |
| OR | 135199 | 05 | |
| ID | 0033387 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1780608216 | Legacy Good Samaritan Hospital and Medical Center | Transplant Surgery | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-27 |
| 1679597108 | Legacy Good Samaritan Hospital and Medical Center | Psychiatry & Neurology | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-07-27 |
| 1336162874 | Legacy Good Samaritan Hospital and Medical Center | Psychiatric Unit | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-25 |
| 1609896174 | Legacy Good Samaritan Hospital and Medical Center | Pharmacy | 1040 Nw 22nd Ave, Suite 100, Portland, OR 97210-3057 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER | 1015 Nw 22nd Ave, Portland, OR 97210 |
| Washington State Corporations | LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Street Address |
1015 NW 22ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449629 | Chen-wen Christopher Heh | Psychiatry & Neurology | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2005-10-03 |
| 1023620770 | Jenelle Lynn Stinson | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2020-08-22 |
| 1821618935 | Jena Jobin | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2020-04-17 |
| 1164041810 | Danielle Amelie Parker | Occupational Therapist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2020-04-13 |
| 1659910362 | Ellen Lee | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-12-27 |
| 1487291787 | Nicholai Leon Mathewson | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-12-05 |
| 1528603438 | Lap Huy Nguyen | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-11-14 |
| 1649814617 | Ethan Andrew Blashford | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-11-03 |
| 1770127854 | Meri Leah Grotzinger | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-11-01 |
| 1467095307 | Dennis Thompson | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841376092 | Providence Health & Services - Oregon | Rehabilitation Unit | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942753231 | Veterans Affairs | Rehabilitation Unit | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2016-08-03 |
| 1144418922 | Mountain View Hospital | Rehabilitation Unit | 470 Ne A St, Madras, OR 97741-1844 | 2007-10-05 |
| 1629121512 | Asante | Rehabilitation Unit | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2007-01-22 |
| 1508949884 | Providence Health & Services - Oregon | Rehabilitation Unit | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-10-23 |
| 1629186978 | Peacehealth | Rehabilitation Unit | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-08-28 |
| 1154343150 | St. Charles Health System, Inc. | Rehabilitation Unit | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-07-25 |
| 1487676789 | Willamette Valley Medical Center LLC | Rehabilitation Unit | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-24 |
| 1942228390 | Mercy Medical Center, Inc. | Rehabilitation Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-17 |
| 1417988767 | Mercy Institute of Rehabilitation | Rehabilitation Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2006-07-05 |
| 1851369409 | Mid-columbia Medical Center | Rehabilitation Unit | 1700 E 19th St, The Dalles, OR 97058-3317 | 2006-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.