GRANDE RONDE HOSPITAL, INC (NPI# 1609980655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609980655 |
Entity Type | Organization |
Organization Name | GRANDE RONDE HOSPITAL, INC |
Other Organization Name | GRANDE RONDE HOSPITAL |
Practice Address |
900 Sunset Dr La Grande OR 97850-1362 |
Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
Practice Telephone | 5419638421 |
Practice Fax Number | 5419631845 |
Mailing Telephone | 5419638421 |
Mailing Fax Number | 5419631845 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2019-12-16 |
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 | 275N00000X | Medicare Defined Swing Bed Unit | 394792 | OR | Hospital Units |
Other Name | Type Code |
---|---|
Grande Ronde Hospital | Doing Business As Name - Organization |
Grande Ronde Hospital Swing Bed | Other Name - Individual/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 |
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 |
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 |
900 SUNSET DR |
City | LA GRANDE |
State | OR |
Zip Code | 97850-1362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033101696 | Geraldine Gardner | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2005-08-19 |
1194325357 | Jacob K. Mcginnis | Student in an Organized Health Care Education/Training Program | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-10-27 |
1861029159 | Robert Paul Shanks | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-03-25 |
1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
1225590011 | Emily Whitesides | Physical Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-02 |
1629530431 | Marci Brianne Clarke | Occupational Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-01 |
1154885689 | Korreene Ann Dubray | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-01-29 |
1467974618 | Jared Johnathan Hulme | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-07-10 |
1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
1376071357 | David Burt Ingram | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063857217 | Garland Perry | Medicare Defined Swing Bed Unit | 5985 Trail Ave Ne, Apt 202, Keizer, OR 97303-7567 | 2013-05-01 |
1770514481 | Morrow County Health District | Medicare Defined Swing Bed Unit | 564 E. Pioneer Drive, Heppner, OR 97836 | 2006-07-05 |
1063460095 | Lower Umpqua Hospital District | Medicare Defined Swing Bed Unit | 600 Ranch Road, Reedsport, OR 97467 | 2006-05-04 |
1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
1245237486 | Salem Health West Valley | Medicare Defined Swing Bed Unit | 525 Se Washington St, Dallas, OR 97338-2834 | 2005-07-01 |
1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
1609142595 | Peacehealth | Medicare Defined Swing Bed Unit | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-03-26 |
1902089634 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2007-12-17 |
1053509836 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 470 Ne A Street, Madras, OR 97741-1844 | 2007-10-05 |
1386830727 | Pioneer Memorial Hospital | Medicare Defined Swing Bed Unit | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2007-09-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GRANDE RONDE HOSPITAL, INC.
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.