LEGACY MERIDIAN PARK HOSPITAL NPI 1184647620

NPI Information

NPI: 1184647620
Provider Name: LEGACY MERIDIAN PARK HOSPITAL
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
19300 SW 65TH AVE
TUALATIN, OR
ZIP 97062
Phone: (503) 692-1212
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LEGACY MERIDIAN PARK HOSPITAL is a general acute care hospital in Tualatin, OR. The provider is 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. LEGACY MERIDIAN PARK HOSPITAL NPI is 1184647620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19300 SW 65TH AVE
TUALATIN, OR
ZIP 97062-706
Phone: (503) 692-1212

The provider's authorized official is Sarah Jensen .
The authorized official title is Interim Cfo and has the following contact phone number (503) 415-5145.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 2/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				No
2	261Q00000X	Clinic/Center				No
3	261QP2000X	Clinic/Center	Physical Therapy			No
4	282N00000X	General Acute Care Hospital		14-1336	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	138008900	OTHER	OREGON	REGENCE BLUE CROSS
2	XHSP40260	MEDICAID	CALIFORNIA
3	HS691OP	MEDICAID	ALASKA
4	33766	MEDICAID	IDAHO
5	HS691IP	MEDICAID	ALASKA
6	XHSP30260	MEDICAID	CALIFORNIA
7	122499	MEDICAID	OREGON
8	234454	MEDICAID	OREGON
9	3018504	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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