GRANDE RONDE HOSPITAL, INC. (NPI# 1376939314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376939314 |
| Entity Type | Organization |
| Organization Name | GRANDE RONDE HOSPITAL, INC. |
| Other Organization Name | REGIONAL MEDICAL CLINIC |
| Practice Address |
506 4th St La Grande OR 97850-1906 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 5416633138 |
| Mailing Telephone | 5416633138 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MR. JAMES A MATTES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5419631454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
140728 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| REGIONAL MEDICAL CLINIC | 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 |
| 1275158453 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2020-06-12 |
| 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 |
506 4TH ST |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347965 | Francis E Szumski | Family Medicine | 506 4th St, La Grande, OR 97850-1906 | 2005-09-21 |
| 1902373616 | Heather Hurd | Social Worker | 506 4th St, La Grande, OR 97850-1906 | 2018-10-31 |
| 1396233110 | Doreen Lynn Dobyns | Registered Nurse | 506 4th St, La Grande, OR 97850-1906 | 2018-04-26 |
| 1558894329 | Tara Palmer | Nurse Practitioner | 506 4th St, La Grande, OR 97850-1906 | 2017-04-07 |
| 1063867661 | Michelle Tolle | Family Medicine | 506 4th St, La Grande, OR 97850-1906 | 2016-05-02 |
| 1730541723 | James Sheehy | Social Worker | 506 4th St, La Grande, OR 97850-1906 | 2016-03-28 |
| 1396124202 | Karyanne Spangler | Registered Nurse | 506 4th St, La Grande, OR 97850-1906 | 2015-05-26 |
| 1295123933 | Raylene Eisele | Nurse Practitioner | 506 4th St, La Grande, OR 97850 | 2015-01-05 |
| 1962804641 | Carly Gray | Nurse Practitioner | 506 4th St, La Grande, OR 97850 | 2014-09-24 |
| 1588064596 | Jueth Atigbi-hansen | Nurse Practitioner | 506 4th St, La Grande, OR 97850 | 2014-08-27 |
| Find all providers in the same location | ||||
| 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 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 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 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1689061491 | Grande Ronde Hospital, Inc | Clinic/Center | 610 Sunset Dr, La Grande, OR 97850-1269 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183063 | Praxis Medical Group P.C. | Clinic/Center | 1890 7th St., Umatilla, OR 97882 | 2020-10-27 |
| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 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 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1073879227 | Mid-valley Healthcare, Inc. | Clinic/Center | 157 Spaulding Avenue, Brownsville, OR 97327 | 2012-04-02 |
| 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.