| Grande Ronde Hospital, Inc | |
|
570 8th Elgin OR 97827 | |
| (541) 437-6321 | |
| Not Available |
| Full Name | Grande Ronde Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 570 8th, Elgin, Oregon |
| Authorized Official Name and Position | James A Mattes (PRESIDENT/CEO) |
| Authorized Official Contact | 5419631454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grande Ronde Hospital, Inc Po Box 3290 La Grande OR 97850-7290 Ph: (541) 963-1555 | Grande Ronde Hospital, Inc 570 8th Elgin OR 97827 Ph: (541) 437-6321 |
| NPI Number | 1043694342 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 0547170789 |
|---|---|
| Medicare Enrollment ID | O20150909002846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043694342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
South County Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Division St, Elgin, OR 97827 Phone: 541-437-6321 Fax: 541-437-8585 | |
Grande Ronde Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Division St, Elgin, OR 97827 Phone: 541-437-6321 |