GRANDE RONDE HOSPITAL, INC (NPI# 1477932325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477932325 |
Entity Type | Organization |
Organization Name | GRANDE RONDE HOSPITAL, INC |
Other Organization Name | GRANDE RONDE HOSPITAL ELGIN CLINIC |
Practice Address |
1400 Division St Elgin OR 97827 |
Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
Practice Telephone | 5414376321 |
Mailing Telephone | 5419631555 |
Mailing Fax Number | 5419631845 |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-08-25 |
Authorized Official Name | JAMES A MATTES (PRESIDENT/CEO) |
Authorized Official Telephone | 5419631454 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GRANDE RONDE HOSPITAL ELGIN CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
1871972729 | Grande Ronde Hospital, Inc | Clinic/Center | 142 E Dearborn St, Union, OR 97883 | 2015-05-26 |
1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
1306872718 | Grande Ronde Hospital, Inc | Hospice Care, Community Based | 802 Sunset Dr, La Grande, OR 97850-1361 | 2006-06-25 |
1194194902 | Grande Ronde Hospital, Inc | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2015-09-22 |
1326423864 | Grande Ronde Hospital, Inc | Urology | 700 Sunset Dr Ste A, La Grande, OR 97850-1260 | 2015-07-27 |
1780068080 | Grande Ronde Hospital, Inc | Clinic/Center | 142 E Dearborn, Union, OR 97883 | 2015-07-16 |
1689061491 | Grande Ronde Hospital, Inc | Clinic/Center | 610 Sunset Dr, La Grande, OR 97850-1269 | 2015-04-20 |
1609980655 | Grande Ronde Hospital, Inc | Medicare Defined Swing Bed Unit | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-08-18 |
1285664037 | Grande Ronde Hospital, Inc | Home Health | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-07-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | GRANDE RONDE HOSPITAL, INC. | 900 Sunset Dr, La Grande, OR 97850 |
Street Address |
1400 DIVISION ST |
City | ELGIN |
State | OR |
Zip Code | 97827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144496241 | South County Health District | Clinic/Center | 1400 Division St, Elgin, OR 97827 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
1548675358 | Kali Gray | Dentist | 1400 Division Street, Elgin, OR 97827 | 2014-07-01 |
1548606841 | Elisha Mayes, Dds, PC | Dentist | 570 S. 8th Ave, Elgin, OR 97827 | 2013-05-14 |
1396151940 | Jamie Jo Haddock | Nurse Practitioner | 570 S 8th Ave, Elgin, OR 97827 | 2014-07-03 |
1861703126 | Elgin Health Center LLC | Nurse Practitioner | 720 Albany St, Elgin, OR 97827 | 2010-07-01 |
1710068937 | City of Elgin | Ambulance | 180 N 8th St, Elgin, OR 97827-0128 | 2006-10-17 |
1295923498 | Melissa E Coe | Registered Nurse | 1990 Alder, Pob 204, Elgin, OR 97827-0204 | 2007-10-12 |
1831246057 | Tempie Bartell | Nurse Practitioner | 720 Albany, Elgin, OR 97827-0908 | 2007-01-03 |
1124391743 | Julia Lee Jones | Pharmacist | 71727 Evers Canyon Rd, Elgin, OR 97827-8166 | 2012-02-13 |
1881955771 | Raffaella Sappe Betza | Family Medicine | 570 S 8th Ave, Elgin, OR 97827-9726 | 2012-06-06 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.