Grande Ronde Hospital, Inc. - Medicare Primary Care in La Grande, OR

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Grande Ronde Hospital, Inc. is a medicare enrolled primary clinic (General Acute Care Hospital - Critical Access) in La Grande, Oregon. The current practice location for Grande Ronde Hospital, Inc. is 900 Sunset Dr, La Grande, Oregon. For appointments, you can reach them via phone at (541) 963-1472. The mailing address for Grande Ronde Hospital, Inc. is Po Box 3290, La Grande, Oregon and phone number is (541) 963-8421.

Grande Ronde Hospital, Inc. is licensed to practice in Oregon (license number 140728). The clinic also participates in the medicare program and its NPI number is 1467446195. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 963-1472.

Contact Information

Grande Ronde Hospital, Inc.
900 Sunset Dr
La Grande
OR 97850-3290
(541) 963-1472
(541) 963-1862

Map and Direction


Primary Care Clinic Profile

Full NameGrande Ronde Hospital, Inc.
SpecialityGeneral Acute Care Hospital
Location900 Sunset Dr, La Grande, Oregon
Authorized Official Name and PositionJeremy P Davis (CEO)
Authorized Official Contact5419638421
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grande Ronde Hospital, Inc.
Po Box 3290
La Grande
OR 97850-7290

Ph: (541) 963-8421		Grande Ronde Hospital, Inc.
900 Sunset Dr
La Grande
OR 97850-3290

Ph: (541) 963-1472

NPI Details:

NPI Number1467446195
Provider Enumeration Date09/08/2005
Last Update Date12/15/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0547170789
Medicare Enrollment IDO20031124000758

Medical Identifiers

Medical identifiers for Grande Ronde Hospital, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467446195NPI-NPPES
067801MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
261QS1200XClinic/center - Sleep Disorder Diagnostic (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access 140728 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grande Ronde Hospital, Inc. acts as a billing entity for following providers:
Provider NameTimothy David Kadlecek
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538229315
PECOS PAC ID: 5890688352
Enrollment ID: I20040405000710
Provider NameJoel D Rice
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477563203
PECOS PAC ID: 4385631647
Enrollment ID: I20040429000300
Provider NameAaron L Spracklen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1235174947
PECOS PAC ID: 6507851565
Enrollment ID: I20040429000305
Provider NameJohn M Page
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760493522
PECOS PAC ID: 7719963792
Enrollment ID: I20040629000959
Provider NameMilo L Hibbert
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689604233
PECOS PAC ID: 7315989415
Enrollment ID: I20050531000338
Provider NameRobin S Kates
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851465041
PECOS PAC ID: 0244273464
Enrollment ID: I20050608000220
Provider NameSusan K Rice
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306876958
PECOS PAC ID: 1052337243
Enrollment ID: I20051017001154
Provider NameDavid L Galt
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659369734
PECOS PAC ID: 5294630349
Enrollment ID: I20051028000033
Provider NameJill M Parsons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417983974
PECOS PAC ID: 4789674318
Enrollment ID: I20060328000815
Provider NameSteven D Hunsaker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386673903
PECOS PAC ID: 4981706256
Enrollment ID: I20070307000618
Provider NameKenneth Lightheart
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1740290360
PECOS PAC ID: 2365543600
Enrollment ID: I20070731000106
Provider NameEdwin Y Wang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093779282
PECOS PAC ID: 5890690580
Enrollment ID: I20070917000562
Provider NameSeymour M Bronstein
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1114984424
PECOS PAC ID: 8224935382
Enrollment ID: I20071226000097
Provider NameJesse Jarnes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215174669
PECOS PAC ID: 0345303210
Enrollment ID: I20090120000717
Provider NameShantay S Mayes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609075779
PECOS PAC ID: 9234282310
Enrollment ID: I20090806000810
Provider NameRodrigo R Lim
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558405878
PECOS PAC ID: 3476598376
Enrollment ID: I20090922000468
Provider NameBlake A Gornowicz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548363732
PECOS PAC ID: 4981740776
Enrollment ID: I20091008000269
Provider NameBrian R Mahon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104998962
PECOS PAC ID: 5799778957
Enrollment ID: I20091104000554
Provider NamePeter Beatty
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710047592
PECOS PAC ID: 6901899152
Enrollment ID: I20100304000453
Provider NameStacy L Whitaker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316064512
PECOS PAC ID: 1355446055
Enrollment ID: I20100317000553
Provider NameRobert P Mccarthy
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1629164116
PECOS PAC ID: 6608770326
Enrollment ID: I20100420000261
Provider NameAndrew C Pearson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1871700450
PECOS PAC ID: 2567586159
Enrollment ID: I20100903000195
Provider NameMark G Parent
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1558301515
PECOS PAC ID: 6709846462
Enrollment ID: I20101026001308
Provider NameErika C Shakespeare
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1487963948
PECOS PAC ID: 7618157496
Enrollment ID: I20110210001085
Provider NameElizabeth T Kutella
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033266853
PECOS PAC ID: 1557537867
Enrollment ID: I20120106000664
Provider NameAlex Johnson
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1417081399
PECOS PAC ID: 0345332433
Enrollment ID: I20120119000824
Provider NameChristopher A Green
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386830917
PECOS PAC ID: 8224194071
Enrollment ID: I20120731000806
Provider NamePaul Clay Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942375043
PECOS PAC ID: 7214944107
Enrollment ID: I20121031000620
Provider NameLeslie W Jackson
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1972690774
PECOS PAC ID: 0042407108
Enrollment ID: I20121211000137
Provider NameBenjamin C Olson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932394186
PECOS PAC ID: 6406098136
Enrollment ID: I20130809000050
Provider NameJ Johnson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427257096
PECOS PAC ID: 7810036746
Enrollment ID: I20140414000916
Provider NameJennine N Page
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316262157
PECOS PAC ID: 3577718220
Enrollment ID: I20140501001264
Provider NameJamie J Haddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396151940
PECOS PAC ID: 5496972580
Enrollment ID: I20140813002289
Provider NameGerry F Funk
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1467443515
PECOS PAC ID: 7810039658
Enrollment ID: I20140905002515
Provider NameStephen A Mcilmoil
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598052813
PECOS PAC ID: 9739308594
Enrollment ID: I20140910001419
Provider NameBrian D Wadley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124076732
PECOS PAC ID: 2264425966
Enrollment ID: I20150310001947
Provider NameCourtney Travis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821419557
PECOS PAC ID: 9335362581
Enrollment ID: I20150420001616
Provider NameLuther S Hemphill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508101569
PECOS PAC ID: 3971756123
Enrollment ID: I20150624003301
Provider NameEllen Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679916738
PECOS PAC ID: 1951540947
Enrollment ID: I20151008001039
Provider NameKayla D Nixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548646847
PECOS PAC ID: 1850601972
Enrollment ID: I20151102001949
Provider NameChristine J Quinto
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1174667406
PECOS PAC ID: 0345429767
Enrollment ID: I20151231000861
Provider NameMonica A Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912366543
PECOS PAC ID: 2264730290
Enrollment ID: I20160407001325
Provider NameJames M Sheehy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730541723
PECOS PAC ID: 8921390618
Enrollment ID: I20160718001301
Provider NameRaffaella S Betza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881955771
PECOS PAC ID: 6204147135
Enrollment ID: I20161013002627
Provider NameDrue J Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972801082
PECOS PAC ID: 5294912887
Enrollment ID: I20161130000622
Provider NameLaura Breu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942749833
PECOS PAC ID: 0143504118
Enrollment ID: I20170313000463
Provider NameDerek G Zickgraf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568774362
PECOS PAC ID: 9436435583
Enrollment ID: I20170404002184
Provider NameGloria Dawn Turner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174931182
PECOS PAC ID: 8325323405
Enrollment ID: I20170517002157
Provider NameIrving Z Basanez
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1740546894
PECOS PAC ID: 3971805516
Enrollment ID: I20170622002715
Provider NameEmma Peiris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063830693
PECOS PAC ID: 7911125612
Enrollment ID: I20170720002343
Provider NameScott A Widener
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073060034
PECOS PAC ID: 4486928223
Enrollment ID: I20170918003353
Provider NameMacey J Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417483553
PECOS PAC ID: 6800160466
Enrollment ID: I20170920001111
Provider NameRoxanna G Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891223848
PECOS PAC ID: 5698041820
Enrollment ID: I20171016002744
Provider NameJared J Hulme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467974618
PECOS PAC ID: 3971860115
Enrollment ID: I20171127001839
Provider NameCasey A Nichols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558583088
PECOS PAC ID: 2961593207
Enrollment ID: I20180219001542
Provider NameStephanie Go
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881960078
PECOS PAC ID: 1658640198
Enrollment ID: I20180517001428
Provider NameBrittany R Pryce
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497114417
PECOS PAC ID: 5294081196
Enrollment ID: I20180709000025
Provider NameMaricela Elena Bandel-ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205338084
PECOS PAC ID: 9537416912
Enrollment ID: I20180716003270
Provider NameArie G Trouw
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952664062
PECOS PAC ID: 0648543629
Enrollment ID: I20181003002978
Provider NameMark Thomas Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558674796
PECOS PAC ID: 7618134073
Enrollment ID: I20190219001529
Provider NameWade Brandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629070297
PECOS PAC ID: 3375642648
Enrollment ID: I20190405000224
Provider NameKorreene A Dubray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154885689
PECOS PAC ID: 4789926775
Enrollment ID: I20190423000635
Provider NameKathryn A Leavitt
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1467871277
PECOS PAC ID: 8426272824
Enrollment ID: I20190603000418
Provider NameBradley Robert Close
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649638875
PECOS PAC ID: 2466759303
Enrollment ID: I20190604001464
Provider NameBrian T Reynolds
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477636900
PECOS PAC ID: 0244135036
Enrollment ID: I20190725003633
Provider NameJeanna L Romer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205276003
PECOS PAC ID: 5799070108
Enrollment ID: I20190930001557
Provider NameKristell Marie Wade
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871503748
PECOS PAC ID: 8123119146
Enrollment ID: I20191008001438
Provider NameEve D M Koltuv
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043631708
PECOS PAC ID: 5395177133
Enrollment ID: I20191115000720
Provider NameGeraldine Gardner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033101696
PECOS PAC ID: 5597791939
Enrollment ID: I20191126001087
Provider NameBeverley A Blake O'doherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821166539
PECOS PAC ID: 3577514207
Enrollment ID: I20191202001316
Provider NameZachary W Spoehr-labutta
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881057362
PECOS PAC ID: 6103259163
Enrollment ID: I20191204002790
Provider NameStaci L Rogers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871968941
PECOS PAC ID: 0840623674
Enrollment ID: I20191209000786
Provider NameManuel Alejandro Guerrero
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548380488
PECOS PAC ID: 7719032465
Enrollment ID: I20191210001024
Provider NameKim A Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912568825
PECOS PAC ID: 4981033438
Enrollment ID: I20200403000674
Provider NameEllen Faye Hills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154956233
PECOS PAC ID: 0840629218
Enrollment ID: I20200406002205
Provider NameMichelle Tolle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063867661
PECOS PAC ID: 5092000133
Enrollment ID: I20200415000912
Provider NameBryan N Tolle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275878894
PECOS PAC ID: 8628294394
Enrollment ID: I20200415003152
Provider NameRobert Shanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861029159
PECOS PAC ID: 3870923568
Enrollment ID: I20200421000735
Provider NameSteven K Pinther
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245612589
PECOS PAC ID: 0941621478
Enrollment ID: I20200609000598
Provider NameBrooke A Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164839320
PECOS PAC ID: 4082036082
Enrollment ID: I20200621000012
Provider NameDavid Ingram
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376071357
PECOS PAC ID: 7012289978
Enrollment ID: I20200703000038
Provider NameLea M Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245894336
PECOS PAC ID: 0941611099
Enrollment ID: I20201123000857
Provider NameMatthew Treinen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093918922
PECOS PAC ID: 1658465943
Enrollment ID: I20210222002936
Provider NameThomas L Mouritsen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811537012
PECOS PAC ID: 1951738665
Enrollment ID: I20210305000270
Provider NameChelsea Caruso
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659751774
PECOS PAC ID: 8921429267
Enrollment ID: I20210616002469
Provider NameBenjamin Harris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366822116
PECOS PAC ID: 6800192162
Enrollment ID: I20210617000959
Provider NameMatthew Kay
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033646096
PECOS PAC ID: 7315292430
Enrollment ID: I20210630003330
Provider NameHeather J Holland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902373616
PECOS PAC ID: 8022411610
Enrollment ID: I20210720001712
Provider NameAaron W Grigg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083804918
PECOS PAC ID: 0143346627
Enrollment ID: I20210727002467
Provider NameTanya A Bucierka
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629567995
PECOS PAC ID: 2062765928
Enrollment ID: I20211012001310
Provider NameMichael V Parmley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245674043
PECOS PAC ID: 3072740893
Enrollment ID: I20211019002545
Provider NameDebora L Brown-cumpton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407216989
PECOS PAC ID: 6800284886
Enrollment ID: I20211025000424
Provider NameFallon N Polich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386311157
PECOS PAC ID: 4082003611
Enrollment ID: I20211119000553
Provider NameAnna Lanman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851912463
PECOS PAC ID: 4789074808
Enrollment ID: I20211203002525
Provider NameAndrew K Oh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1508884859
PECOS PAC ID: 5496652653
Enrollment ID: I20211222001245
Provider NameMelissa M Lin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659735751
PECOS PAC ID: 5991091225
Enrollment ID: I20220427002246
Provider NameJoseph Marquardt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265753842
PECOS PAC ID: 6800207705
Enrollment ID: I20220509001786
Provider NameDebi J Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245611995
PECOS PAC ID: 7113304320
Enrollment ID: I20220509002260
Provider NameRita Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447433107
PECOS PAC ID: 0345570057
Enrollment ID: I20220513001209
Provider NameTra V.d. Pham
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073045449
PECOS PAC ID: 6507136793
Enrollment ID: I20220718000287
Provider NameAnthony L Joseph
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831298223
PECOS PAC ID: 5890883219
Enrollment ID: I20220808003013
Provider NameTracy Epperson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841498987
PECOS PAC ID: 0042645665
Enrollment ID: I20220809001979
Provider NameMarcus Carr
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104280205
PECOS PAC ID: 7416240502
Enrollment ID: I20220811003078
Provider NameBrandy Renee Mclendon
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518494038
PECOS PAC ID: 4789067034
Enrollment ID: I20220818002185
Provider NameWendi K Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679950687
PECOS PAC ID: 9436432655
Enrollment ID: I20220819001671
Provider NameTylo M Mackay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255886297
PECOS PAC ID: 4789069550
Enrollment ID: I20220914002070
Provider NameLakesha Francis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235691445
PECOS PAC ID: 6901132596
Enrollment ID: I20220929003843
Provider NameEric R Schmitt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629242888
PECOS PAC ID: 2769521913
Enrollment ID: I20221010002842
Provider NameJacob Sandefur
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770212417
PECOS PAC ID: 8426425588
Enrollment ID: I20221101003476
Provider NameRichard Lesperance
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194927228
PECOS PAC ID: 4284881459
Enrollment ID: I20230216001583
Provider NameKennan Dale Richards
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679195614
PECOS PAC ID: 5991189458
Enrollment ID: I20230509000801
Provider NamePouran P Alizadeh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831579085
PECOS PAC ID: 6103133715
Enrollment ID: I20230526002464
Provider NameKendel Margart
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831758168
PECOS PAC ID: 5597163386
Enrollment ID: I20230531001747
Provider NameHolly Shen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528221652
PECOS PAC ID: 7214184704
Enrollment ID: I20230616000364
Provider NameRebecca L Locke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265672281
PECOS PAC ID: 8224208814
Enrollment ID: I20230619001423
Provider NameGus J Leotta
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336220771
PECOS PAC ID: 0345419222
Enrollment ID: I20231120003413
Provider NameLu Pan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477843449
PECOS PAC ID: 3779862396
Enrollment ID: I20231219002523
Provider NameZachary Michael Jacobsen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225808264
PECOS PAC ID: 1355793084
Enrollment ID: I20240118002575
Provider NameJanet Rono
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467015818
PECOS PAC ID: 2668894700
Enrollment ID: I20240205002973
Provider NamePamela M Mcwhirter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003477233
PECOS PAC ID: 0840520599
Enrollment ID: I20240312000636
Provider NameLaura T Molina
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215577309
PECOS PAC ID: 1759717515
Enrollment ID: I20240422002553
Provider NameJames E Mathis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1225033350
PECOS PAC ID: 0648348573
Enrollment ID: I20240514004322
Provider NameSarah A Wehrle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366957524
PECOS PAC ID: 3274077250
Enrollment ID: I20240701003781
Provider NameDavid M Sisul
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1306000690
PECOS PAC ID: 7517187537
Enrollment ID: I20240712003803
Provider NameMegan Cooper Hunt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659033892
PECOS PAC ID: 9335685296
Enrollment ID: I20240726003353
Provider NameJulie A Trofibio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083170070
PECOS PAC ID: 8729310404
Enrollment ID: I20240808000303
Provider NameBradley Jack Tishman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033783584
PECOS PAC ID: 2466991187
Enrollment ID: I20240827000148
Provider NameNaghmeh Vafamand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700450251
PECOS PAC ID: 3274937818
Enrollment ID: I20240910002660
Provider NameCynthia Ann Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962220582
PECOS PAC ID: 2264965946
Enrollment ID: I20241103000003
Provider NameDiane S Ogren
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1073588653
PECOS PAC ID: 7416999891
Enrollment ID: I20241203000057
Provider NameKeith A Corl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124243134
PECOS PAC ID: 7214129154
Enrollment ID: I20241226000097

Reviews and Comments


General Acute Care Hospital in La Grande, OR

John Schaefer Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850
Phone: 541-963-4139    Fax: 541-963-4412
Grande Ronde Hospital Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 700 Sunset Dr Ste G, La Grande, OR 97850
Phone: 541-963-6070    Fax: 541-963-6490
Grande Ronde Hospital, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 10303 S Walton Rd, La Grande, OR 97850
Phone: 541-962-7845    Fax: 541-975-5225
Western Skies Wellness Center, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1807 Cove Ave, La Grande, OR 97850
Phone: 541-663-9008    Fax: 541-624-5454
Grande Ronde Hospital, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-963-3138    Fax: 541-963-5918
Kim R. Montee, M.d., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850
Phone: 541-963-4139    Fax: 541-963-4412
Praxis Health, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2011 Fourth St., La Grande, OR 97850
Phone: 541-963-4139    Fax: 541-429-6612

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.