NPIMap

Organization Active NPI

Silverton Health

  • Clinic/Center
  • Woodburn, OR
National Provider Identifier
1215347109
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SILVERTON HEALTH
Practice address
1475 Mt. Hood Ave
Woodburn, OR 97071
Phone
(971) 983-5214
Fax
(971) 983-5219
NPI assigned
May 1, 2014
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Linda Hoff
Title
Cfo
Phone
(503) 415-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1475 Mt. Hood Ave
Woodburn, OR 97071

Mailing address

PO Box 4037
Portland, OR 97208
Phone (503) 873-1500

Other names 1

  • Legacy Medical Group Behavioral Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000172 OR Part B Supplier - Clinic/Group Practice 8921901877 Receives reassigned benefits from 620 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silverton, OR; Woodburn, OR; Salem, OR; Mount Angel, OR; Molalla, OR; Keizer, OR

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2102601Legacy Medical Group - Women's Health1475 Mt Hood Ave, Woodburn, OR 97071Provider-performed microscopySep 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Molalla Family Practice17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1215347109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4037",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97208",
            "telephone_number": "503-873-1500",
            "fax_number": "503-873-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MT. HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "971-983-5214",
            "fax_number": "971-983-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTON HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-415-5730"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Medical Group Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.