GRANDE RONDE HOSPITAL INC NPI 1043694342

NPI Information

NPI: 1043694342
Provider Name: GRANDE RONDE HOSPITAL, INC

Doing Business As: GRANDE RONDE HOSPITAL ELGIN CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
570 8TH
ELGIN, OR
ZIP 97827
Phone: (541) 437-6321
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GRANDE RONDE HOSPITAL, INC is a rural health clinic center in Elgin, OR. GRANDE RONDE HOSPITAL, INC NPI is 1043694342. 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:

570 8TH
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 38D1089293 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 4/26/2017.

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	261QR1300X	Clinic/Center	Rural Health			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	388524	MEDICARE OSCAR/CERTIFICATION	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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