GOOD SHEPHERD MEDICAL GROUP RHC (NPI# 1508901554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508901554 |
Entity Type | Organization |
Organization Name | GOOD SHEPHERD MEDICAL GROUP RHC |
Practice Address |
600 Nw 11th St Suite E-37 Hermiston OR 97838-8602 |
Practice Telephone | 5416673732 |
Mailing Telephone | 5416673732 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DENNIS BURKE (CEO) |
Authorized Official Telephone | 5416673400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 140334 | OR | Ambulatory Health Care Facilities |
Street Address |
600 NW 11TH ST SUITE E-37 |
City | HERMISTON |
State | OR |
Zip Code | 97838-8602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851387492 | Richard A Carpenter | Specialist | 600 Nw 11th St, Suite E27, Hermiston, OR 97838-8602 | 2005-09-20 |
1487100376 | Lane Marty Shockman | Physical Therapy Assistant | 600 Nw 11th St, Suite E31, Hermiston, OR 97838-8605 | 2016-08-30 |
1598133860 | Jennie Rebecca Price | Speech-Language Pathologist | 600 Nw 11th St, Hermiston, OR 97838-8605 | 2015-09-03 |
1326415795 | Genessa Knowles | Speech-Language Pathologist | 600 Nw 11th St, Suite E-25, Hermiston, OR 97838-8605 | 2015-09-01 |
1265833362 | Dawn Headings | Nurse Practitioner | 600 Nw 11th St, #e15, Hermiston, OR 97838-8605 | 2014-09-08 |
1225461262 | Michele Mayer | Physical Therapy Assistant | 600 Nw 11th St, Suite E-31, Hermiston, OR 97838-8605 | 2013-08-13 |
1508113408 | Jessica L Oltman | Registered Nurse | 600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8605 | 2012-08-09 |
1598035925 | Shara Mae Salverda | Nurse Practitioner | 600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8602 | 2012-01-02 |
1922382126 | Mabel Yew | Pediatrics | 600 Nw 11th St, Suite 33, Hermiston, OR 97838-8605 | 2011-10-06 |
1700173218 | Jonas H Oltman | Family Medicine | 600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8605 | 2011-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | 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). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194882100 | Columbia Basin Wellness Clinic, Inc. | Clinic/Center | 115 W Hermiston Ave, Suite 100 C, Hermiston, OR 97838-1746 | 2007-01-02 |
1235371162 | Advanced Orthopedic & Sports Medicine Institute, LLC | Clinic/Center | 620 Nw 11th St, Ste 201, Hermiston, OR 97838-8605 | 2009-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
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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.