PIONEER MEMORIAL HOSPITAL NPI 1972699106

NPI Information

NPI: 1972699106
Provider Name: PIONEER MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1201 NE ELM ST
PRINEVILLE, OR
ZIP 97754
Phone: (541) 447-6254
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PIONEER MEMORIAL HOSPITAL is a critical access general acute care hospital in Prineville, OR. PIONEER MEMORIAL HOSPITAL NPI is 1972699106. The provider is registered as an organization entity type.

The provider's business location address is:

1201 NE ELM ST
PRINEVILLE, OR
ZIP 97754-206
Phone: (541) 447-6254
Fax: (541) 447-6705

The provider's authorized official is Colleen Ann Nielsen .
The authorized official title is Cfo and has the following contact phone number (541) 447-2523.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/12/2007.

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	282NC0060X	General Acute Care Hospital	Critical Access	14-0239	OREGON	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	38-1313	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	0000ZGBGD	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PART B
3	00112	MEDICAID	OREGON

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

NPI Synchronization or Removal

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