Kaiser Foundation Hospitals

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Interstate South ASC

Practice address

3500 N Interstate Ave
Interstate Medical Office South
Portland, OR 97227-1196

Phone

(503) 331-4761

Fax

(503) 331-6129

NPI assigned

Dec 21, 2006

Last updated

Jun 23, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

KAISER FOUNDATION HOSPITALSAs reported in NPPES

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

Authorized official

Name

Shawn Barton

Title

Executive Director, Revenue Cycle

Phone

(800) 813-2000

Specialties & licenses 1

Addresses

Other names 1

• Interstate South ASC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Interstate Ambulatory Surgery CenterCCN 38C0001030

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Daniel Gussin185 organizations share this tax ID, including this one

Part of

Daniel Gussin

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Kaiser Foundation Health Plan of the Northwest

  dba Kaiser Permanente Continuing Care Services Home Health

  • Home Health Agency
  • Portland, OR
  • NPI 1487711412
  NPD tax ID
• Kaiser Foundation Health Plan of the Northwest

  dba Kaiser Permanente Continuing Care Services Hospice

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1992860993
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Sunnyside Medical Center

  • General Acute Care Hospital
  • Clackamas, OR
  • NPI 1124182902
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Skyline ASC

  • Ambulatory Surgical Clinic/Center
  • Salem, OR
  • NPI 1134283005
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Sunnybrook Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clackamas, OR
  • NPI 1235512765
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Sunnybrook ASC

  • Ambulatory Surgical Clinic/Center
  • Clackamas, OR
  • NPI 1275619215
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Center For Health Research

  • Research Clinic/Center
  • Portland, OR
  • NPI 1275781031
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Clackamas, OR
  • NPI 1336165034
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Central Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portland, OR
  • NPI 1366027856
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Brookside Treatment Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Clackamas, OR
  • NPI 1659528693
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Westside Inpatient Pharmacy

  • Institutional Pharmacy
  • Hillsboro, OR
  • NPI 1801230529
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Westside

  • General Acute Care Hospital
  • Hillsboro, OR
  • NPI 1891048807
  NPD tax ID

Locations

All facility ownership & control disclosures 80

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

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1891859773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322023",
            "telephone_number": "503-813-4939",
            "fax_number": "503-813-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N INTERSTATE AVE",
            "address_2": "INTERSTATE MEDICAL OFFICE SOUTH",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271196",
            "telephone_number": "503-331-4761",
            "fax_number": "503-331-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER FOUNDATION HOSPITALS",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "800-813-2000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3500 N Interstate Ave",
            "address_2": "Interstate Medical Office South",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972271196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interstate South ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interstate South ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan of the Northwest
• Kaiser Foundation Health Plan of the Northwest (Kaiser Permanente Continuing Care Services Hospice)
• Kaiser Foundation Health Plan of the NW
• Kaiser Foundation Hospitals (Center For Health Research)
• Kaiser Foundation Hospitals (Kaiser Central Peritoneal Dialysis Facility)
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.