NPIMap

Organization Active NPI

Emergency and Acute Care Medical Company - Northwest, Inc.

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1073607966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY AND ACUTE CARE MEDICAL COMPANY - NORTHWEST, INC.
Practice address
Legacy Good Samaritan Hospital & Medical Center
1015 NW 22ND Avenue
Portland, OR 97210
Phone
(503) 413-7711
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Arthur Lawrence Gruen, M.D., FACEP
Title
President and Ceo
Phone
(858) 759-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

Legacy Good Samaritan Hospital & Medical Center
1015 NW 22ND Avenue
Portland, OR 97210

Mailing address

P.O. Box 9350
Rancho Santa Fe, CA 92067-9350

National Provider Directory

National Provider Directory
Tax ID family
Emergency and Acute Care Medical Company - Northwest Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073607966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9350",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920679350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL CENTER",
            "address_2": "1015 NW 22ND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY AND ACUTE CARE MEDICAL COMPANY - NORTHWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "858-759-4765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACEP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.