LEGACY MEDICAL GROUP KEIZER
NPI 1508294513
Clinic/Center in Keizer, OR

NPI Status: Active since October 30, 2013

Contact Information

5685 INLAND SHORES WAY N
KEIZER, OR
ZIP 97303
Phone: (503) 779-2271
Fax: (503) 779-2272

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About LEGACY MEDICAL GROUP KEIZER

This page provides the complete NPI Profile along with additional information for Legacy Medical Group Keizer, a provider established in Keizer, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1508294513 assigned on October 2013. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Legacy Medical Group Keizer. The authorized official of this NPI record is Linda Hoff (Cfo)

NPI: 1508294513
Provider Legal Name: SILVERTON HEALTH
Other Organization Name: LEGACY MEDICAL GROUP KEIZER
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 5685 INLAND SHORES WAY N KEIZER, OR 97303
Location Phone: (503) 779-2271
Location Fax: (503) 779-2272
Mailing Address: PO BOX 4037 PORTLAND, OR 97208
Mailing Phone: (503) 873-1500
Mailing Fax: (503) 779-2272
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-30-2013
Last Update Date: 10-19-2016
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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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: LINDA HOFF
Authorized Official Title: CFO
Authorized Official Phone: (503) 415-5730

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	0	8	2	9	4	5	1	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	0	8	4	9	8	5	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 4 + 9 + 8 + 5 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1508294513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.