LEGACY EMANUEL HOSPITAL & HEALTH CENTER (NPI# 1245773225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245773225 |
| Entity Type | Organization |
| Organization Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER |
| Other Organization Name | LEGACY EMANUEL HOSPITAL ADOLESCENT PSYCHIATRIC UNIT |
| Practice Address |
1225 Ne 2nd Ave Portland OR 97232-2003 |
| Mailing Address |
Po Box 4037 Portland OR 97208-4037 |
| Practice Telephone | 5034132200 |
| Practice Fax Number | 5034132756 |
| Mailing Telephone | 5034134048 |
| Mailing Fax Number | 5034134449 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | ANNA LOOMIS (CFO) |
| Authorized Official Telephone | 5034155730 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 14-0056 | OR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500719870 | 05 | |
| WA | 2075091 | 05 |
| Other Name | Type Code |
|---|---|
| Legacy Emanuel Hospital Adolescent Psychiatric Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316129232 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051-1201 | 2007-12-03 |
| 1417978008 | Legacy Emanuel Hospital & Health Center | Radiology | 500 N Columbia River Hwy Ste 2, Saint Helens, OR 97051-1201 | 2006-07-21 |
| 1073053757 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 2801 N Gantenbein Ave, Portland, OR 97227 | 2017-03-01 |
| 1003367491 | Legacy Emanuel Hospital & Health Center | General Acute Care Hospital | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-10-20 |
| 1003822487 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-31 |
| 1700809027 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2006-07-26 |
| 1831112358 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-07-25 |
| 1295756898 | Legacy Emanuel Hospital & Health Center | Clinical Medical Laboratory | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-21 |
| 1417977976 | Legacy Emanuel Hospital & Health Center | Pharmacy | 501 N Graham St, Portland, OR 97227-1654 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Oregon Corporations, Companies and Business Names | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | 2801 N Gantenbein, Portland, OR 97227 |
| Street Address |
1225 NE 2ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497727903 | Gregory Miller | Psychiatry & Neurology | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-02-07 |
| 1104435809 | Caleb Terence Hughes | Counselor | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2020-07-28 |
| 1073078366 | Jeremy Michael Good | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2019-01-31 |
| 1053806653 | James Clark Trott | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2018-06-26 |
| 1912410630 | Valerie Spear | Nurse Practitioner | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2017-11-16 |
| 1376074427 | Angella Michelle King Cole | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232 | 2017-03-21 |
| 1003367491 | Legacy Emanuel Hospital & Health Center | General Acute Care Hospital | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-10-20 |
| 1083078265 | Corey Elizabeth Watson | Nurse Practitioner | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-04-13 |
| 1043692676 | Rodney Stuart Olin | Nurse Practitioner | 1225 Ne 2nd Ave, Unity Center, Portland, OR 97232-2003 | 2015-06-19 |
| 1538540711 | James Koved | Psychiatry & Neurology | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2015-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1164811972 | Providence Health & Services Oregon | Psychiatric Unit | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2015-01-16 |
| 1023194271 | Providence Health & Services - Oregon | Psychiatric Unit | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2006-10-31 |
| 1164507695 | Portland Veterans Affairs Medical Center | Psychiatric Unit | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-10-25 |
| 1003822487 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-31 |
| 1336162874 | Legacy Good Samaritan Hospital and Medical Center | Psychiatric Unit | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-25 |
| 1811917222 | Mainehealth | Psychiatric Unit | 22 Bramhall St, Portland, ME 04102 | 2006-07-20 |
| 1275506024 | Jay County Hospital | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2006-02-10 |
| 1033191309 | Portland Adventist Medical Center | Psychiatric Unit | 10123 Se Market St, Portland, OR 97216-2532 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790904225 | Good Samaritan Hospital Corvallis | Psychiatric Unit | 3509 Nw Samaritan Drive Suite 100, Corvallis, OR 97330-3766 | 2007-04-24 |
| 1659751360 | Providence Health & Services Oregon | Psychiatric Unit | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-06-08 |
| 1699019216 | Willamette Valley Medical Center LLC | Psychiatric Unit | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2012-11-20 |
| 1760612519 | Samaritan Health Services | Psychiatric Unit | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2009-07-14 |
| 1811038367 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-09 |
| 1114002128 | Asante | Psychiatric Unit | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-10-26 |
| 1457454928 | Peacehealth | Psychiatric Unit | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-09-07 |
| 1518983659 | Department of Veterans Affairs | Psychiatric Unit | 913 Nw Garden Valley Blvd, Mhs - Ward 3u Sipu, Roseburg, OR 97470-6523 | 2006-07-14 |
| 1083645428 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-05 |
| 1962453134 | Good Samaritan Hospital Corvallis | Psychiatric Unit | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.