| Grande Ronde Hospital, Inc. | |
|
10303 S Walton Rd La Grande OR 97850 | |
| (541) 962-7845 | |
| (541) 975-5225 |
| Full Name | Grande Ronde Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10303 S Walton Rd, La Grande, Oregon |
| Authorized Official Name and Position | Angela J Hibbert (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5419631967 |
| 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) 962-7845 | Grande Ronde Hospital, Inc. 10303 S Walton Rd La Grande OR 97850 Ph: (541) 962-7845 |
| NPI Number | 1093296519 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 06/12/2020 |
| Medicare PECOS PAC ID | 0547170789 |
|---|---|
| Medicare Enrollment ID | O20210303002831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093296519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 140728 (Oregon) | 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: Not Enrolled in Medicare Practice Location: 700 Sunset Dr Ste G, La Grande, OR 97850 Phone: 541-963-6070 Fax: 541-963-6490 | |
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 |