GRANDE RONDE HOSPITAL, INC is a cardiovascular disease internal medicine in Boise, ID. The provider is 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. GRANDE RONDE HOSPITAL, INC NPI is 1497807812. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
300 E JEFFERSON ST STE 101
BOISE, ID
ZIP 83712-221
Phone: (208) 336-4141
Fax: (208) 336-4035
The provider's authorized official is James Mattes .
The authorized official title is President Ceo and has the following contact phone number (541) 963-1454.
The CLIA number assigned to this NPI record is 38D2153754 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/17/2007 and was last updated on 4/7/2011.