Legacy Good Samaritan Providers

LBN: Legacy Good Samaritan Hospital And Medical Center
Legacy Good Samaritan Providers is an health care organization with primary practice located at 1200 Nw 23Rd Ave , Portland OR 97210-2906. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Legacy Good Samaritan Hospital And Medical Center can be contacted via phone (503) 413-7074, or through Jensen, Sarah via phone (503) 415-5145.

Contact Information

Primary practice address
1200 Nw 23Rd Ave Portland OR 97210-2906
Phone: (503) 413-7074
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Sarah
Phone: (503) 415-5145

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1679597108
LBN Legal business name Legacy Good Samaritan Hospital And Medical Center
DBA Doing business as Legacy Good Samaritan Providers
Authorized official Jensen, Sarah
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2006
Last updated Feb 27th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679597108 NPPES
Oregon Other 007002000 REGENCE BLUE CROSS
Oregon MEDICAID 226827 REGENCE BLUE CROSS
Oregon MEDICAID 1016129 REGENCE BLUE CROSS
Oregon MEDICAID 135199 REGENCE BLUE CROSS
Oregon Other CK6664 REGENCE BLUE CROSS
Oregon Other 002868000 REGENCE BLUE CROSS

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