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Organization
GRANDE RONDE HOSPITAL, INC.
Active
Organization
GRANDE RONDE HOSPITAL, INC.
Active
Other names
GRANDE RONDE HOSPITAL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J HIBBERT (CREDENTIALING COORDINATOR)
(541) 963-1967
Entity
Organization
Contact information
Practice address
10303 S WALTON RD, LA GRANDE, OR 97850
(541) 962-7845
(541) 975-5225
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 962-7845
(541) 975-5225
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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