NPIMap

Organization Active NPI

Silverton Health

Doing business as Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
National Provider Identifier
1669424354
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14 0030 Issued in OR
Legal business name
SILVERTON HEALTH
Doing business as
Legacy Silverton Medical Center
Practice address
342 Fairview St
Silverton, OR 97381-1917
Phone
(503) 873-1500
Fax
(503) 873-1534
NPI assigned
May 17, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Sarah Jensen
Title
Cfo
Phone
(503) 415-5145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 140030 OR
General Acute Care Hospital 282N00000X 14 0030 OR Primary

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381-1917

Mailing address

PO Box 3417
Portland, OR 97208-3417
Phone (503) 413-4048

Other identifiers 1

IdentifierTypeStateIssuer
000146MedicaidOR

Other names 1

  • Legacy Silverton Medical Center Doing business as

Medicare participation

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

Enrollment records 2

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
Practice locations: Silverton, OR; Woodburn, OR; Salem, OR; Mount Angel, OR; Molalla, OR; Keizer, OR
O20050421001608 OR Part A Provider - Hospital 8921901877 Practice locations: Silverton, OR; Woodburn, OR; Mount Angel, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669424354. Details of each certification follow.

Hospital certification: CCN 380029

Legal name
SILVERTON HEALTH
Doing business as
LEGACY SILVERTON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 24, 2008
Beds
48 (38 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 25, 1918 in OR
Enrollment address
342 Fairview St
Silverton, OR 97381-1917
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 14

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

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Legacy Silverton Medical CenterCCN 380029 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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
Jack Friedman Individual Corporate DirectorBoard Member Jun 18, 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 Sep 15, 2015
Nancy Locke Individual Corporate DirectorBoard Member Jun 1, 2016
Leslie Root Individual Corporate DirectorBoard Member Jan 1, 2012
Jeffrey Barber Individual Corporate DirectorBoard Member Jul 25, 2013
Legacy Health Organization, Portland, OR Operational/Managerial Control Jun 1, 2016
Nancy Horton Individual Corporate DirectorBoard Member Jun 1, 2019
Craig Armstrong Individual Corporate DirectorSecretary Sep 1, 2023
Teresa L Handy Individual Corporate Officer Feb 27, 2012
W-2 Managing Employee Feb 27, 2012
Lynn T Gust Individual Corporate DirectorBoard Member Jun 1, 2017
George Joseph Brown Individual Corporate DirectorBoard President Jun 10, 2024
Gayle Goschie Individual Corporate DirectorBoard Member Nov 15, 2007
Lisa Freedman Individual Corporate DirectorBoard Member Jun 1, 2019
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 Jun 1, 2018
Samir B Desai Individual Corporate DirectorBoard Member Jun 1, 2017
Sarah Jensen Individual Corporate Officer Jun 1, 2017
W-2 Managing Employee Jun 1, 2017
Carolyn Coggins Individual Corporate DirectorTreasurer Sep 22, 2025

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Legacy Medical Group - Mt. AngelMount Angel, OR, CCN 383999 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 4, 2005
Legacy Medical Group - Woodburn Health CenterWoodburn, OR, CCN 388500 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 4, 2005
Aug 4, 2005

Owned or controlled facilities with NPI records 2

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

  • Silverton Health
    • Rural Health Clinic/Center
    • Mount Angel, OR
    • NPI 1528171543

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Silverton Health

    dba Legacy Woodburn Health Center

    • Rural Health Clinic/Center
    • Woodburn, OR
    • NPI 1679686463

    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 637

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 637

Affiliated clinicians 212

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1669424354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417",
            "telephone_number": "503-413-4048",
            "fax_number": "503-413-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811917",
            "telephone_number": "503-873-1500",
            "fax_number": "503-873-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTON HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-415-5145"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "140030",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14 0030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000146",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Silverton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.