GRANDE RONDE HOSPITAL, INC (NPI# 1194194902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194194902 |
| Entity Type | Organization |
| Organization Name | GRANDE RONDE HOSPITAL, INC |
| Other Organization Name | GRANDE RONDE HOSPITAL SLEEP CLINIC -CALDWELL |
| Practice Address |
1717 Arlington Ave Caldwell ID 83605-4802 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 2083674817 |
| Mailing Telephone | 5419638421 |
| Mailing Fax Number | 5419631845 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | MR. JAMES A MATTES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5419631842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GRANDE RONDE HOSPITAL SLEEP CLINIC -CALDWELL | 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 |
| 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 |
| 1477932325 | Grande Ronde Hospital, Inc | Clinic/Center | 1400 Division St, Elgin, OR 97827 | 2015-05-26 |
| 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 |
1717 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767800 | West Valley Lifeline Services | Durable Medical Equipment & Medical Supplies | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-04-05 |
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1578103180 | David Michael Calley | Pharmacist | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-01-11 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
| 1609357003 | Sarina L Folwell | Registered Nurse | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2018-08-23 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| 1629425707 | Hospital Medicine Associates of Idaho PC | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144720061 | Breath of Life Health Care Pllc | Family Medicine | 1717 Lincoln Way Ste 203, Coeur D Alene, ID 83814 | 2018-02-16 |
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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.