LEGACY MOUNT HOOD MEDICAL CENTER NPI 1255354700

NPI Information

NPI: 1255354700
Provider Name: LEGACY MOUNT HOOD MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
24800 SE STARK ST
GRESHAM, OR
ZIP 97030
Phone: (503) 674-1122
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LEGACY MOUNT HOOD MEDICAL CENTER is a general acute care hospital in Gresham, 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 MOUNT HOOD MEDICAL CENTER NPI is 1255354700. The provider is registered as an organization entity type.

The provider's business location address is:

24800 SE STARK ST
GRESHAM, OR
ZIP 97030-378
Phone: (503) 674-1122

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 11/20/2017.

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	License Number	License State	Primary
1	261Q00000X	Clinic/Center	141337	OREGON	No
2	282N00000X	General Acute Care Hospital	14-1337	OREGON	Yes
3	332B00000X	Durable Medical Equipment & Medical Supplies	14-1337	OREGON	No

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	R0000ZBBSX	MEDICARE PIN	OREGON
2	XHSP40551	MEDICAID	CALIFORNIA
3	HSJIPOR	MEDICAID	ALASKA
4	XHSP30551	MEDICAID	CALIFORNIA
5	380025	MEDICARE OSCAR/CERTIFICATION	OREGON
6	3840340001	MEDICARE PIN	OREGON
7	0033644	MEDICAID	IDAHO
8	138002500	OTHER	OREGON	REGENCE BLUE CROSS
9	069526	MEDICAID	OREGON

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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