Grande Ronde Hospital, Inc.

LBN: Grande Ronde Hospital, Inc.
Grande Ronde Hospital, Inc. is an health care organization with primary practice located at 900 Sunset Dr , La Grande OR 97850-3290. The organization recently has 8 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Ambulatory Health Care Facilities / Urgent Care, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Grande Ronde Hospital, Inc. can be contacted via phone (541) 963-1472, or through Davis, Jeremy P via phone (541) 963-8421.

Contact Information

Primary practice address
900 Sunset Dr La Grande OR 97850-3290
Phone: (541) 963-1472
Fax: (541) 963-1862
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jeremy P
Phone: (541) 963-8421

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Hospitals / Critical Access 282NC0060X 140728 Oregon
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1467446195
LBN Legal business name Grande Ronde Hospital, Inc.
DBA Doing business as
Authorized official Davis, Jeremy P
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467446195 NPPES
Oregon MEDICAID 067801

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