| Grande Ronde Hospital, Inc. | |
|
506 4th St La Grande OR 97850-1906 | |
| (541) 963-3138 | |
| (541) 963-5918 |
| Full Name | Grande Ronde Hospital, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 506 4th St, La Grande, Oregon |
| Authorized Official Name and Position | Jeremy P Davis (PRESIDENT/CEO) |
| Authorized Official Contact | 5419638421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grande Ronde Hospital, Inc. Po Box 460 La Grande OR 97850-0460 Ph: (541) 963-3138 | Grande Ronde Hospital, Inc. 506 4th St La Grande OR 97850-1906 Ph: (541) 963-3138 |
| NPI Number | 1174553929 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174553929 | NPI | - | NPPES |
| 276310 | Medicaid | OR | |
| DE0048 | Other | OR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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: 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 | |
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 | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 |