SOUTH GILLIAM COUNTY HEALTH DIST (NPI# 1588964407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588964407 |
| Entity Type | Organization |
| Organization Name | SOUTH GILLIAM COUNTY HEALTH DIST |
| Other Organization Name | SOUTH GILLIAM HEALTH CENTER |
| Practice Address |
422 North Main St. Condon OR 97823 |
| Practice Telephone | 5413842061 |
| Mailing Telephone | 5413842061 |
| Mailing Fax Number | 5413843121 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | MRS. CYNTHIA K.F. HINTON (BOARD CHAIRMAN) |
| Authorized Official Telephone | 5413842061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Gilliam Health Center | Doing Business As Name - Organization |
| Street Address |
422 NORTH MAIN ST. |
| City | CONDON |
| State | OR |
| Zip Code | 97823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921553 | Amanda Rae Hendricks | Massage Therapist | 601 E. Court St, Condon, OR 97823 | 2018-08-09 |
| 1467505883 | South Gilliam County Ambulance | Ambulance | 422 N Main, Condon, OR 97823-0085 | 2007-01-19 |
| 1376608901 | Bruce D. Carlson | Clinic/Center | 422 N Main, Condon, OR 97823-0705 | 2006-12-26 |
| 1972636868 | Roderick K. Murray | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1336272244 | Stephanie J. Thomas | Pharmacy Technician | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1144353962 | Murray Drugs, Inc. | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1285064709 | North Central Education Service District | Local Education Agency (LEA) | 135 S Main St, Condon, OR 97823-2057 | 2013-11-19 |
| 1801223599 | Anna Charapata | Pharmacist | 225 S Main St, Condon, OR 97823-2058 | 2013-09-26 |
| 1093364937 | Damon Michael Holland | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2019-09-04 |
| 1922580778 | Brooke Ansotegui | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2018-08-29 |
| Find all providers in zip 97823 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376608901 | Bruce D. Carlson | Clinic/Center | 422 N Main, Condon, OR 97823-0705 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183063 | Praxis Medical Group P.C. | Clinic/Center | 1890 7th St., Umatilla, OR 97882 | 2020-10-27 |
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1477945517 | Morrow County Health District | Clinic/Center | 365 W 3rd St, Ione, OR 97843-7216 | 2015-02-26 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| Find all providers with the same taxonomy | ||||
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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.