GRANDE RONDE HOSPITAL, INC (NPI# 1497807812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497807812 |
Entity Type | Organization |
Organization Name | GRANDE RONDE HOSPITAL, INC |
Practice Address |
300 E Jefferson St Ste 101 Boise ID 83712-6221 |
Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
Practice Telephone | 2083364141 |
Practice Fax Number | 2083364035 |
Mailing Telephone | 5419631555 |
Mailing Fax Number | 5419631845 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2011-04-07 |
Authorized Official Name | MR. JAMES MATTES (PRESIDENT CEO) |
Authorized Official Telephone | 5419631454 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14-0728 | OR | Allopathic & Osteopathic Physicians |
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 |
1306872718 | Grande Ronde Hospital, Inc | Hospice Care, Community Based | 802 Sunset Dr, La Grande, OR 97850-1361 | 2006-06-25 |
1194194902 | Grande Ronde Hospital, Inc | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2015-09-22 |
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 |
300 E JEFFERSON ST STE 101 |
City | BOISE |
State | ID |
Zip Code | 83712-6221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841782083 | Athena Denice Evans-campbell | Registered Nurse | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2018-06-04 |
1295189264 | Sean M. Smart | Nurse Practitioner | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2016-04-15 |
1437598059 | Sharon L Krasovich | Registered Nurse | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2013-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
Find all providers in zip 83712 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
1841234747 | Samual Bass | Internal Medicine | 300 E Jefferson, Ste 101, Boise, ID 83712 | 2006-06-15 |
1407814411 | Frederick R. Badke | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2006-05-02 |
1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
1326045428 | Patrick Scott Coleman | Internal Medicine | 6140 W Curtisian Ave Ste 200, 6140 W Curtisian Ave Ste 200, Boise, ID 83704 | 2005-07-05 |
1114305091 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-12 |
1790162345 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-04 |
1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
1972759124 | Michael Rich | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2008-08-07 |
Find all providers in BOISE |
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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.