| Grande Ronde Hospital, Inc | |
|
142 E Dearborn Union OR 97883 | |
| (541) 963-1555 | |
| (541) 963-1845 |
| Full Name | Grande Ronde Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 142 E Dearborn, Union, Oregon |
| Authorized Official Name and Position | James A Mattes (PRESIDENT/CEO) |
| Authorized Official Contact | 5419631464 |
| 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 142 E Dearborn Union OR 97883 Ph: (541) 963-1555 |
| NPI Number | 1780068080 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 11/21/2016 |
| Medicare PECOS PAC ID | 0547170789 |
|---|---|
| Medicare Enrollment ID | O20150909002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780068080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
South County Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 142 E. Dearborn, Union, OR 97883 Phone: 541-562-2222 Fax: 541-562-2224 | |
Grande Ronde Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 E Dearborn St, Union, OR 97883 Phone: 541-963-1555 Fax: 541-963-1845 |