GRANDE RONDE HOSPITAL, INC. (NPI# 1275158453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275158453 |
Entity Type | Organization |
Organization Name | GRANDE RONDE HOSPITAL, INC. |
Practice Address |
10303 S Walton Rd La Grande OR 97850 |
Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
Practice Telephone | 5419627845 |
Practice Fax Number | 5419755225 |
Mailing Telephone | 5419627845 |
Mailing Fax Number | 5419755225 |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-06-12 |
Authorized Official Name | ANGELA J HIBBERT (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 5419631967 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GRANDE RONDE HOSPITAL URGENT CARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
1376939314 | Grande Ronde Hospital, Inc. | Clinic/Center | 506 4th St, La Grande, OR 97850-1906 | 2015-04-07 |
1174553929 | Grande Ronde Hospital, Inc. | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 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 |
10303 S WALTON RD |
City | LA GRANDE |
State | OR |
Zip Code | 97850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
1477719607 | Cynthia A Morris | Dentist | 10609 S. Walton Rd, Island City, OR 97850 | 2008-08-07 |
Find all providers in zip 97850 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821620402 | Praxis Medical Group Inc | Clinic/Center | 2215 Nw Shevlin Park Road, Suite 100, Bend, OR 97703-7195 | 2020-02-11 |
1952812687 | Mend Clinic LLC | Clinic/Center | 2936 Commercial St Se, Salem, OR 97302-4552 | 2017-10-20 |
1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
1215388145 | Family Choice Urgent Care LLC | Clinic/Center | 108 Nw Sisemore St, Suite 120, Bend, OR 97703-2869 | 2016-06-22 |
1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
1710349477 | Uptown Providers PC | Clinic/Center | 14284 Sw Allen Blvd, Beaverton, OR 97005-4405 | 2016-03-22 |
1790188043 | Emurgent Care LLC | Clinic/Center | 109b E Ellendale Ave, Dallas, OR 97338-1794 | 2014-10-01 |
1134563620 | Uptown Providers Inc | Clinic/Center | 7033 Ne Sandy Blvd, Portland, OR 97213 | 2013-04-26 |
1639428436 | Urgent Care Express PC | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1200, Portland, OR 97212-5336 | 2012-09-07 |
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.