| Saint Alphonsus Medical Center Baker City, Inc | |
|
3325 Pocahontas Rd Baker City OR 97814-1464 | |
| (541) 524-2965 | |
| (541) 524-8151 |
| Full Name | Saint Alphonsus Medical Center Baker City, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3325 Pocahontas Rd, Baker City, Oregon |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Center Baker City, Inc 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-5170 | Saint Alphonsus Medical Center Baker City, Inc 3325 Pocahontas Rd Baker City OR 97814-1464 Ph: (541) 524-2965 |
| NPI Number | 1881726206 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/16/2025 |
| Medicare PECOS PAC ID | 4981732518 |
|---|---|
| Medicare Enrollment ID | O20100618000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881726206 | NPI | - | NPPES |
| 809590 | Medicaid | OR | |
| 178061 | Medicaid | OR | |
| 500619115 | Medicaid | OR |
| Provider Name | Eric R Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750379244 PECOS PAC ID: 5395657050 Enrollment ID: I20031205000083 |
| Provider Name | Kaare E Tingelstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306891783 PECOS PAC ID: 6305743246 Enrollment ID: I20031217001015 |
| Provider Name | Virgil H Duvernay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285681056 PECOS PAC ID: 1052200516 Enrollment ID: I20040312000475 |
| Provider Name | Michael H Mcqueen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497720460 PECOS PAC ID: 3577549351 Enrollment ID: I20040624001074 |
| Provider Name | Aaron R Gopp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144284423 PECOS PAC ID: 6709864622 Enrollment ID: I20050829000213 |
| Provider Name | David Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427117332 PECOS PAC ID: 8921104548 Enrollment ID: I20070427000360 |
| Provider Name | Steven A Delashmutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821030552 PECOS PAC ID: 5991896227 Enrollment ID: I20070801000194 |
| Provider Name | Seymour M Bronstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114984424 PECOS PAC ID: 8224935382 Enrollment ID: I20071226000097 |
| Provider Name | Tyler M Arkless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235347154 PECOS PAC ID: 9537241245 Enrollment ID: I20080201000378 |
| Provider Name | Jesse Jarnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215174669 PECOS PAC ID: 0345303210 Enrollment ID: I20090120000717 |
| Provider Name | Justin R Gibb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023263894 PECOS PAC ID: 0749337194 Enrollment ID: I20090422000170 |
| Provider Name | Frederick R Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023073426 PECOS PAC ID: 6305903121 Enrollment ID: I20090611000477 |
| Provider Name | Eric C Rysenga |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659319549 PECOS PAC ID: 9234261157 Enrollment ID: I20100713000162 |
| Provider Name | Evelyn S Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275618878 PECOS PAC ID: 6901090711 Enrollment ID: I20101104001335 |
| Provider Name | Rebecca E Jarnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801036199 PECOS PAC ID: 0244397016 Enrollment ID: I20111215000490 |
| Provider Name | Laura Lynne Asaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003916636 PECOS PAC ID: 1951302371 Enrollment ID: I20120103000778 |
| Provider Name | Leslie W Jackson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972690774 PECOS PAC ID: 0042407108 Enrollment ID: I20121211000137 |
| Provider Name | Spencer D Stucki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518100759 PECOS PAC ID: 6002960127 Enrollment ID: I20130702000119 |
| Provider Name | Brandon G Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801833645 PECOS PAC ID: 4284617036 Enrollment ID: I20130911000478 |
| Provider Name | Stephen A Mcilmoil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052813 PECOS PAC ID: 9739308594 Enrollment ID: I20140910001419 |
| Provider Name | Brian C Kitamura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235440132 PECOS PAC ID: 6608024229 Enrollment ID: I20141021002639 |
| Provider Name | Brenda Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861574824 PECOS PAC ID: 5890019632 Enrollment ID: I20150126002317 |
| Provider Name | Rachel L Mitzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164720025 PECOS PAC ID: 5991980443 Enrollment ID: I20150206000584 |
| Provider Name | Courtney Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821419557 PECOS PAC ID: 9335362581 Enrollment ID: I20150420001616 |
| Provider Name | Kara J Del Curto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699023465 PECOS PAC ID: 9638322118 Enrollment ID: I20150428002248 |
| Provider Name | Christopher Liby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073826178 PECOS PAC ID: 2668793480 Enrollment ID: I20150605000244 |
| Provider Name | Ann Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033270236 PECOS PAC ID: 8729180047 Enrollment ID: I20150725012596 |
| Provider Name | Ellen Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679916738 PECOS PAC ID: 1951540947 Enrollment ID: I20151008001039 |
| Provider Name | Logan C Frederickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609215573 PECOS PAC ID: 2860782828 Enrollment ID: I20160706000891 |
| Provider Name | Heather S Hammerstedt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275621104 PECOS PAC ID: 5496855405 Enrollment ID: I20160712002585 |
| Provider Name | Derek G Zickgraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568774362 PECOS PAC ID: 9436435583 Enrollment ID: I20170404002184 |
| Provider Name | Benjamin Merrill Perry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710325758 PECOS PAC ID: 8022311174 Enrollment ID: I20170620002828 |
| Provider Name | Darin Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144243916 PECOS PAC ID: 8820021603 Enrollment ID: I20170929001986 |
| Provider Name | Brandon Wilding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851307367 PECOS PAC ID: 8921005661 Enrollment ID: I20171013002046 |
| Provider Name | Mark Burriesci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831397835 PECOS PAC ID: 8921171737 Enrollment ID: I20171031001279 |
| Provider Name | Matthew Brent Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790981025 PECOS PAC ID: 7012073679 Enrollment ID: I20171103000800 |
| Provider Name | Richard Scott Thomas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265795660 PECOS PAC ID: 5799088845 Enrollment ID: I20171130002068 |
| Provider Name | Nicholas James Kroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831485168 PECOS PAC ID: 6800113176 Enrollment ID: I20180716000506 |
| Provider Name | Michael J Twomey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073924239 PECOS PAC ID: 6608192562 Enrollment ID: I20181220003159 |
| Provider Name | Heidi D Wartena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376810242 PECOS PAC ID: 4688911886 Enrollment ID: I20190125002178 |
| Provider Name | Bradley Robert Close |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649638875 PECOS PAC ID: 2466759303 Enrollment ID: I20190604001464 |
| Provider Name | Brian T Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477636900 PECOS PAC ID: 0244135036 Enrollment ID: I20190725003633 |
| Provider Name | Eric J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689080525 PECOS PAC ID: 6800105081 Enrollment ID: I20190726001991 |
| Provider Name | Travis Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255793998 PECOS PAC ID: 2961797477 Enrollment ID: I20190919000878 |
| Provider Name | Jennifer Wolff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184169138 PECOS PAC ID: 5395028476 Enrollment ID: I20200103000411 |
| Provider Name | David Ingram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376071357 PECOS PAC ID: 7012289978 Enrollment ID: I20200703000038 |
| Provider Name | Daniel Hanson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245420876 PECOS PAC ID: 8527231273 Enrollment ID: I20210324002989 |
| Provider Name | Jennifer S Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841230752 PECOS PAC ID: 0749233534 Enrollment ID: I20210408001269 |
| Provider Name | Michael Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528004389 PECOS PAC ID: 3072503416 Enrollment ID: I20210520002694 |
| Provider Name | Sheila Giffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013957802 PECOS PAC ID: 7012966922 Enrollment ID: I20210528001878 |
| Provider Name | Josh Sirucek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487066643 PECOS PAC ID: 9234434333 Enrollment ID: I20220124002389 |
| Provider Name | Jacquelyn Denise Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710659628 PECOS PAC ID: 6507251279 Enrollment ID: I20220315002358 |
| Provider Name | William Christian Hamrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982105292 PECOS PAC ID: 1951780097 Enrollment ID: I20220623003327 |
| Provider Name | Ethan Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780848507 PECOS PAC ID: 0547419681 Enrollment ID: I20220707002299 |
| Provider Name | Samuel Capra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477508604 PECOS PAC ID: 2668455320 Enrollment ID: I20220708003391 |
| Provider Name | Jessica Evans Wall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184187114 PECOS PAC ID: 7911234984 Enrollment ID: I20220804001189 |
| Provider Name | Russell L Reinbolt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366410367 PECOS PAC ID: 0648287557 Enrollment ID: I20221003002660 |
| Provider Name | Benjamin Bruestle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659511970 PECOS PAC ID: 5890843726 Enrollment ID: I20230317001673 |
| Provider Name | Kennan Dale Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679195614 PECOS PAC ID: 5991189458 Enrollment ID: I20230509000801 |
| Provider Name | Kendel Margart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831758168 PECOS PAC ID: 5597163386 Enrollment ID: I20230531001747 |
| Provider Name | Lisa Lanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023207784 PECOS PAC ID: 2062596927 Enrollment ID: I20230623000532 |
| Provider Name | Hugo Cesar Araujo Lino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760914345 PECOS PAC ID: 5597127712 Enrollment ID: I20230818002209 |
| Provider Name | James Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730275876 PECOS PAC ID: 8628986452 Enrollment ID: I20240416001616 |
| Provider Name | Kathryn Garrity Hughes |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1902828213 PECOS PAC ID: 0042479834 Enrollment ID: I20241025003464 |
| Provider Name | Nathaniel Ord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831710102 PECOS PAC ID: 1456774868 Enrollment ID: I20241112002649 |
| Provider Name | Galen H Church |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467487868 PECOS PAC ID: 5092793109 Enrollment ID: I20241125004090 |
Eastern Oregon Medical Associates,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 17th St, Suite A, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 | |
Saint Alphonsus Medical Center -baker City, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-2965 Fax: 541-523-8151 | |
St Lukes Clinic-treasure Valley Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3950 17th St Ste A, Baker City, OR 97814 Phone: 541-523-1001 | |
Eagle Cap Clinic Inc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 Midway Dr, Baker City, OR 97814 Phone: 541-523-4497 Fax: 541-523-5471 | |
Saint Alphonsus Medical Center Baker City, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-6461 Fax: 541-523-8144 | |
Elkhorn Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3705 Midway Dr, Baker City, OR 97814 Phone: 541-519-4204 |