GRANDE RONDE HOSPITAL, INC (NPI# 1780068080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780068080 |
| Entity Type | Organization |
| Organization Name | GRANDE RONDE HOSPITAL, INC |
| Other Organization Name | GRANDE RONDE HOSPITAL UNION CLINIC |
| Practice Address |
142 E Dearborn Union OR 97883 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 5419631555 |
| Practice Fax Number | 5419631845 |
| Mailing Telephone | 5419631555 |
| Mailing Fax Number | 5419631845 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MR. JAMES A MATTES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5419631464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GRANDE RONDE HOSPITAL UNION CLINIC | 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 |
| 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 |
| 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 |
142 E DEARBORN |
| City | UNION |
| State | OR |
| Zip Code | 97883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497831481 | Muriel P Shaul | Nurse Practitioner | 142 E Dearborn, Union, OR 97886-0986 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871972729 | Grande Ronde Hospital, Inc | Clinic/Center | 142 E Dearborn St, Union, OR 97883 | 2015-05-26 |
| 1023345535 | Joel Bender | Dentist | 142 E. Dearborn St., Union, OR 97883 | 2009-11-05 |
| 1013162726 | Melinda Sue Cator-mead | Chiropractor | 181 South Main Street, Union, OR 97883 | 2008-11-21 |
| 1083862874 | Catherine M Coffey | Nurse Practitioner | 142 Dearborn St, Union, OR 97883 | 2008-09-04 |
| 1255415261 | City of Union | Ambulance | 342 S Main St, Union, OR 97883 | 2006-10-25 |
| 1669401378 | Union School District 5 | Local Education Agency (LEA) | 540 S. Main, Union, OR 97883 | 2006-07-03 |
| 1992877823 | Carol Ann Ledbetter | Nurse Practitioner | 142 E. Dearborn, Union, OR 97883 | 2006-11-15 |
| 1114032158 | Brookshire Pharmacy Inc | Pharmacy | 105 N Main, Union, OR 97883-0400 | 2006-08-20 |
| 1760559884 | Susan M. Peeples | Nurse Practitioner | 142 East Dearborn, Union, OR 97883-0605 | 2006-11-30 |
| 1083659122 | Gwendolyn Short | Nurse Practitioner | 142 E. Dearborn, Union, OR 97883-0986 | 2006-06-20 |
| Find all providers in zip 97883 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715819 | Union Hospital District | Clinic/Center | 407 W. South St. Ste. C, Union, SC 29379-2771 | 2006-12-12 |
| 1003876566 | Rush Care, Inc. | Clinic/Center | 24345 Hwy15, Union, MS 39365-8575 | 2006-03-27 |
| 1144722919 | Union Medical Center | Clinic/Center | 407 W South St, Union, SC 29379-2771 | 2018-03-07 |
| 1184126955 | Union Medical Center | Clinic/Center | 322 W South St, Union, SC 29379-2839 | 2018-03-07 |
| 1780186569 | Union Medical Center | Clinic/Center | 319 W South St, Union, SC 29379-2838 | 2018-03-07 |
| 1851608368 | Union Hospital District | Clinic/Center | 801 W Main St, Union, SC 29379-2717 | 2010-09-03 |
| 1346576360 | Union Hospital District | Clinic/Center | 429 E Main St, Union, SC 29379-1902 | 2009-10-27 |
| 1144496829 | Union Hospital District | Clinic/Center | 801 W Main St, Union, SC 29379-2717 | 2008-05-02 |
| 1407022189 | Union Hospital District | Clinic/Center | 407 W. South St. Ste. C, Union, SC 29379-2771 | 2008-05-02 |
| 1730353095 | Union Hospital District | Clinic/Center | 408 N Duncan Byp, Ste L, Union, SC 29379-8663 | 2008-04-17 |
| Find all providers in UNION | ||||
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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.