LEGACY MEDICAL GROUP BEHAVIORAL HEALTH
NPI 1215347109
Clinic/Center in Woodburn, OR
NPI Status: Active since May 01, 2014
Contact Information
1475 MT. HOOD AVE
WOODBURN, OR
ZIP 97071
Phone: (971) 983-5214
Fax: (971) 983-5219
- Organization
- Clinic/Center
- CLIA Number: 38D2102601
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-24-2027
About LEGACY MEDICAL GROUP BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Legacy Medical Group Behavioral Health, a provider established in Woodburn, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215347109 assigned on May 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Legacy Medical Group Behavioral Health. The authorized official of this NPI record is Linda Hoff (Cfo)
- NPI
- 1215347109
- Provider Legal Name
- SILVERTON HEALTH
- Other Organization Name
- LEGACY MEDICAL GROUP BEHAVIORAL HEALTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1475 MT. HOOD AVE WOODBURN, OR 97071
- Location Phone
- (971) 983-5214
- Location Fax
- (971) 983-5219
- Mailing Address
- PO BOX 4037 PORTLAND, OR 97208
- Mailing Phone
- (503) 873-1500
- Mailing Fax
- (971) 983-5219
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2014
- Last Update Date
- 10-19-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2102601
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 25, 2025
- Certificate Expiration Date
- September 24, 2027
- Laboratory Director
- MOLLY MACMORRIS-ADIX
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Legacy Medical Group Behavioral Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215347109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
WOODBURN, OR 97071
WOODBURN, OR 97071
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215347109, enumerated as an "organization" on May 01, 2014.
The provider is located at 1475 MT. HOOD AVE WOODBURN, OR 97071 and the phone number is (971) 983-5214.
Clinic/Center with taxonomy code 261Q00000X.
