NPIMap

Organization Active NPI

Legacy Emanuel Hospital & Health Center

  • Rural Health Clinic/Center
  • Saint Helens, OR
National Provider Identifier
1316129232
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
NA
Legal business name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Practice address
475 S Columbia River Hwy Ste 100
Saint Helens, OR 97051-2860
Phone
(503) 397-0471
Fax
(503) 366-3014
NPI assigned
Dec 3, 2007
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY EMANUEL HOSPITAL & HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Sarah Jensen
Title
VP Finance
Phone
(503) 415-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NA Primary

Addresses

Primary practice location

475 S Columbia River Hwy Ste 100
Saint Helens, OR 97051-2860

Mailing address

PO Box 4399
Portland, OR 97208-4399
Phone (503) 413-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127001204 OR Part B Supplier - Clinic/Group Practice 4587573639 Receives reassigned benefits from 774 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Tualatin, OR; St Helens, OR; Saint Helens, OR; Beaverton, OR
O20071017000478 OR Part A Provider - Rural Health Clinic 4587573639 Practice locations: Saint Helens, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316129232. Details of each certification follow.

Rural health clinic certification: CCN 383867

Legal name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Doing business as
LEGACY CLINIC ST HELENS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 2, 2008
Last certification
Jan 10, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1912 in OR
Enrollment address
475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051-2860

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Emanuel Hospital Health

Locations

2800 N Vancouver Ave
Ste 230
Portland, OR 97227
Phone (503) 413-2901

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph H Frankhouse Individual Corporate DirectorBoard Member Jun 1, 2023
Jennifer Brand Individual W-2 Managing EmployeeMGR Centralized Verif SVCS Jun 18, 2015
Jack Friedman Individual Corporate DirectorBoard Member Jun 1, 2018
Edgar Navas Individual Corporate DirectorBoard Member Jun 1, 2020
Richard P Reiten Individual Corporate DirectorBoard Member Jul 25, 2013
Jerry Petty Individual Corporate DirectorBoard Member Jun 1, 2018
Charles Wilhoite Individual Corporate DirectorChair Jun 1, 2018
Nancy Locke Individual Corporate DirectorBoard Member Jun 1, 2016
Leslie Root Individual Corporate DirectorBoard Member Jan 1, 2012
Legacy Health Organization, Portland, OR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 14, 2007 100%
Operational/Managerial Control Aug 14, 2007 100%
Nancy Horton Individual Corporate DirectorBoard Member Jun 1, 2019
Craig Armstrong Individual Corporate DirectorSecretary Sep 1, 2023
Teresa L Handy Individual Corporate Director Mar 2, 2012
W-2 Managing EmployeeVP Revenue Cycle Mar 2, 2012
Lynn T Gust Individual Corporate DirectorBoard Member Jun 1, 2017
George Joseph Brown Individual Corporate DirectorBoard President Jun 10, 2024
Raymond Costantini Individual Corporate DirectorBoard Member Nov 21, 2025
Gabriel Goddard Individual Corporate DirectorBoard Member Nov 21, 2025
Gayle Goschie Individual Corporate DirectorBoard Member Jun 1, 2016
Lisa Freedman Individual Corporate DirectorBoard Member Jun 1, 2019
Marcus Mundy Individual Corporate DirectorBoard Member Nov 21, 2025
Nathalie Johnson Individual Corporate DirectorBoard Member Jun 1, 2023
Nasreen a Ilias-Khan Individual Corporate DirectorBoard Member May 15, 2021
David Ramus Individual Corporate DirectorVice Chair Jan 1, 2015
Sarah Jensen Individual Corporate Director Oct 1, 2015
W-2 Managing EmployeeVP Finance Oct 1, 2015
Carolyn Coggins Individual Corporate DirectorTreasurer Sep 22, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Medical Group - FirwoodSandy, OR, CCN 383881 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 1, 2011
Jun 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Legacy Clinics LLC

    dba Legacy Medical Group Firwood

    • Rural Health Clinic/Center
    • Sandy, OR
    • NPI 1730472192

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1316129232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4399",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084399",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S COLUMBIA RIVER HWY STE 100",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512860",
            "telephone_number": "503-397-0471",
            "fax_number": "503-366-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "503-415-5145"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.