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GOOD SHEPHERD MEDICAL GROUP RHC NPI 1508901554


NPI Information

NPI: 1508901554
Provider Name: GOOD SHEPHERD MEDICAL GROUP RHC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 38D0671650

Address:
600 NW 11TH ST
SUITE E-37
HERMISTON, OR
ZIP 97838
Phone: (541) 667-3732
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GOOD SHEPHERD MEDICAL GROUP RHC is a clinic center in Hermiston, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GOOD SHEPHERD MEDICAL GROUP RHC NPI is 1508901554. The provider is registered as an organization entity type.

The provider's business location address is:

600 NW 11TH ST
SUITE E-37
HERMISTON, OR
ZIP 97838-602
Phone: (541) 667-3732

The provider's authorized official is Dennis Burke .
The authorized official title is Ceo and has the following contact phone number (541) 667-3400.

The CLIA number assigned to this NPI record is 38D0671650 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center140334OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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