LEGACY MOLALLA FAMILY MEDICINE – NPI #1861116055
Clinic/Center

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).

LEGACY MOLALLA FAMILY MEDICINE is an AHC clinic located in MOLALLA, OR. NPPES has assigned the NPI number 1861116055 to LEGACY MOLALLA FAMILY MEDICINE on September 30, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEGACY MOLALLA FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is SILVERTON HEALTH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 3 years ago on Mar 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY MOLALLA FAMILY MEDICINE below.

NPI Profile for
SILVERTON HEALTH

NPI Number
1861116055
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SILVERTON HEALTH
Doing Business As (dba): LEGACY MOLALLA FAMILY MEDICINE
Primary location
861 W MAIN ST
MOLALLA, OR 97038-9352
Phone: (503) 874-5653 Fax: (503) 874-5680
Mailing address
PO BOX 3417
PORTLAND, OR 97208-3417
Phone: (503) 413-3900 Fax:
Organization Subpart
Yes - LEGACY MOLALLA FAMILY MEDICINE is subpart of another organization.
Authorized Official
ANNA LOOMIS
CFO
Phone: (503) 415-5730
Updated
Certification Date
Mar 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
261QR1300X
- Clinic/Center / Rural Health
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.