CCN: 380017 NPI: 1780608216 Organization

LEGACY GOOD SAMARITAN MEDICAL CENTER

1015 NW 22ND AVE
PORTLAND, OR 972103025

Contact Information

Phone 5034137711
Enumeration Date 2006-07-27
Last Updated 2026-01-20

Taxonomies

Code: 332B00000X License State: OR License: 14-0027
Code: 204F00000X
Code: 261QU0200X
Code: 261Q00000X License: NA
Code: 282N00000X (Primary) License State: OR License: 14-0027

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.387

medicaidRatio 0.2559

uncompensatedCareAmount 1377.61

internsToBedsRatio 0.2202

vbpAdjustment 1.0011477628

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.394

medicaidRatio 0.2732

uncompensatedCareAmount 1377.61

internsToBedsRatio 0.2247

vbpAdjustment 1.0011477628

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.394

medicaidRatio 0.2732

uncompensatedCareAmount 969.46

internsToBedsRatio 0.2247

vbpAdjustment 1.0025980462

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.394

medicaidRatio 0.2732

uncompensatedCareAmount 969.46

internsToBedsRatio 0.2247

vbpAdjustment 1.0025980462

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.415

medicaidRatio 0.2844

uncompensatedCareAmount 969.46

internsToBedsRatio 0.2254

vbpAdjustment 1.0025980462

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.415

medicaidRatio 0.2844

uncompensatedCareAmount 921.15

internsToBedsRatio 0.2254

vbpAdjustment 1.0132169009

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.415

medicaidRatio 0.2844

uncompensatedCareAmount 921.15

internsToBedsRatio 0.2254

vbpAdjustment 1.0132169009

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.383

medicaidRatio 0.2637

uncompensatedCareAmount 921.15

internsToBedsRatio 0.2271

vbpAdjustment 1.0132169009

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.383

medicaidRatio 0.2637

uncompensatedCareAmount 903.22

internsToBedsRatio 0.2271

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.383

medicaidRatio 0.2637

uncompensatedCareAmount 903.22

internsToBedsRatio 0.2271

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.38

medicaidRatio 0.2502

uncompensatedCareAmount 903.22

internsToBedsRatio 0.2223

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.38

medicaidRatio 0.2502

uncompensatedCareAmount 903.22

internsToBedsRatio 0.2223

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.38

medicaidRatio 0.2502

uncompensatedCareAmount 918.86

internsToBedsRatio 0.2223

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.38

medicaidRatio 0.2502

uncompensatedCareAmount 918.86

internsToBedsRatio 0.2223

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.38

medicaidRatio 0.2502

uncompensatedCareAmount 918.86

internsToBedsRatio 0.2223

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.36

medicaidRatio 0.2469

uncompensatedCareAmount 918.86

internsToBedsRatio 0.2394

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.36

medicaidRatio 0.2469

uncompensatedCareAmount 1061.36

internsToBedsRatio 0.2394

vbpAdjustment 1.0077465358

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.343

medicaidRatio 0.2506

uncompensatedCareAmount 1061.36

internsToBedsRatio 0.2412

vbpAdjustment 1.0077465358

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.343

medicaidRatio 0.2506

uncompensatedCareAmount 671.72

internsToBedsRatio 0.2412

vbpAdjustment 1.0121109755

hhrAdjustment 0.9958

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.343

medicaidRatio 0.2506

uncompensatedCareAmount 671.72

internsToBedsRatio 0.2412

vbpAdjustment 1.0121109755

hhrAdjustment 0.9958

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.346

medicaidRatio 0.2253

uncompensatedCareAmount 671.72

internsToBedsRatio 0.2335

vbpAdjustment 1.0121109755

hhrAdjustment 0.9958

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.346

medicaidRatio 0.2253

uncompensatedCareAmount 624.05

internsToBedsRatio 0.2335

vbpAdjustment 1.0108604879

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.346

medicaidRatio 0.2253

uncompensatedCareAmount 624.05

internsToBedsRatio 0.2335

vbpAdjustment 1.0108604879

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.346

medicaidRatio 0.2253

uncompensatedCareAmount 624.05

internsToBedsRatio 0.2335

vbpAdjustment 1.0108604879

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.333

medicaidRatio 0.2556

uncompensatedCareAmount 624.05

internsToBedsRatio 0.2344

vbpAdjustment 1.0108604879

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.8293

operatingCostToChargeRatio 0.333

medicaidRatio 0.2556

uncompensatedCareAmount 525.92

internsToBedsRatio 0.2344

vbpAdjustment 1.0048134312

hhrAdjustment 0.9951

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.919

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.919

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.338

deviceCostToChargeRatio 0.906

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.338

deviceCostToChargeRatio 0.906

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.377

deviceCostToChargeRatio 0.92

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.377

deviceCostToChargeRatio 0.92

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.383

deviceCostToChargeRatio 0.898

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.387

deviceCostToChargeRatio 0.899

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.387

deviceCostToChargeRatio 0.899

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.387

deviceCostToChargeRatio 0.899

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.895

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.884

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.884

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.884

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.901

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.901

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.904

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

LEGACY GOOD SAMARITAN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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