NPIMap

Organization Active NPI

Legacy Emanuel Hospital and Health Center

Doing business as Legacy Emanuel Hospital PBB

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1518258581
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
Doing business as
Legacy Emanuel Hospital PBB
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 413-2200
Fax
(503) 413-2756
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY EMANUEL HOSPITAL AND HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Scott Johnson
Title
VP Finance and Interim Cfo
Phone
(503) 415-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

PO Box 4399
Portland, OR 97208-4399
Phone (503) 413-3958

Other names 1

  • Legacy Emanuel Hospital PBB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Legacy Emanuel Hospital Health Center7 organizations share this tax ID, including this one
Part of
Legacy Emanuel Hospital Health Center

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1518258581",
    "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": "503-413-3958",
            "fax_number": "503-413-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-413-2200",
            "fax_number": "503-413-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL AND HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY EMANUEL HOSPITAL AND HEALTH CENTER",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP FINANCE AND INTERIM CFO",
        "authorized_official_telephone_number": "503-415-5730"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Emanuel Hospital PBB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2011; 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.