LEGACY SALMON CREEK HOSPITAL (NPI# 1700809829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809829 |
| Entity Type | Organization |
| Organization Name | LEGACY SALMON CREEK HOSPITAL |
| Practice Address |
2211 Ne 139th St Vancouver WA 98686 |
| Mailing Address |
Po Box 4037 Portland OR 97208-4037 |
| Practice Telephone | 3604871000 |
| Mailing Telephone | 5034133958 |
| Mailing Fax Number | 5034133212 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | ANNA LOOMIS (CFO) |
| Authorized Official Telephone | 5034155730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | H208 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 027978 | 05 | |
| WA | 1016776 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1790705275 | Legacy Salmon Creek Hospital | Pharmacy | 2121 E 139th St, Ste 310, Vancouver, WA 98686-2742 | 2006-07-20 |
| 1538709803 | Legacy Salmon Creek Hospital | Clinic/Center | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2020-01-14 |
| 1982995957 | Legacy Salmon Creek Hospital | Clinic/Center | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2011-04-26 |
| 1356357784 | Legacy Salmon Creek Hospital | Clinic/Center | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2006-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LEGACY SALMON CREEK HOSPITAL | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Street Address |
2211 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642591 | Vivek J Murari | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-12 |
| 1174159297 | Celeste Morgan | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2020-03-20 |
| 1497393193 | Jessica Lyn Bilger | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-12-13 |
| 1144864521 | Breanne Mary Davis | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-10-29 |
| 1407336787 | Christine Garrow | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2018-08-16 |
| 1144743501 | Eric Austin Jordan Nash | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-07-18 |
| 1720528698 | Candace M Hart | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-02-27 |
| 1801343868 | Kathryn Norton | Pharmacist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2016-09-07 |
| 1114381084 | Eduardo Serpa | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686 | 2016-04-07 |
| 1699146696 | Thuan Huy Nguyen | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881718443 | Portland Va Medical Center | General Acute Care Hospital | 7800 Ne 86th Ave, Vancouver, WA 98662-2897 | 2007-03-19 |
| 1487698601 | Portland Vamc | General Acute Care Hospital | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2006-06-16 |
| 1891785903 | Southwest Washington Medical Center | General Acute Care Hospital | 400 Ne Mother Joseph Pl, Pharmacy Department, Vancouver, WA 98664-3200 | 2005-10-28 |
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|---|---|---|---|---|
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| 1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
| 1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
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| 1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
| 1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
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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.