GRANDE RONDE HOSPITAL INC NPI 1477932325

NPI Information

NPI: 1477932325
Provider Name: GRANDE RONDE HOSPITAL, INC

Doing Business As: GRANDE RONDE HOSPITAL ELGIN CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1400 DIVISION ST
ELGIN, OR
ZIP 97827
Phone: (541) 437-6321
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GRANDE RONDE HOSPITAL, INC is a primary care clinic center in Elgin, OR. GRANDE RONDE HOSPITAL, INC NPI is 1477932325. The provider is registered as an organization entity type.
The provider Is Doing Business As Grande Ronde Hospital Elgin Clinic.

The provider's business location address is:

1400 DIVISION ST
ELGIN, OR
ZIP 97827
Phone: (541) 437-6321

The provider's authorized official is James A 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 38D2185620 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 8/25/2015.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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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