PROVIDENCE HEALTH & SERVICES OREGON NPI 1164595773

NPI Information

NPI: 1164595773
Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
:
Address: 810 12TH ST
HOOD RIVER, OR
ZIP 97031
Phone: (503) 215-4323

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NPI Details

PROVIDENCE HEALTH & SERVICES OREGON is a medicare defined swing bed unit in Hood River, OR. The provider is 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. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1164595773. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

810 12TH ST
HOOD RIVER, OR
ZIP 97031-587
Phone: (503) 215-4323
Fax: (503) 215-0297

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 5/15/2025.

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
1	275N00000X	Medicare Defined Swing Bed Unit				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103472	OTHER	OREGON	PART B MEDICARE PTAN

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: 11/21/2025

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