# PIONEER MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386830727
- **Authorized official:** MRS. COLLEEN ANN NIELSEN (CFO)
- **Authorized official phone:** (541) 447-2523

## Contact information

- **Practice address:** 1201 NE ELM ST, PRINEVILLE, OR 97754-1206
- **Practice address phone:** (541) 447-6254
- **Practice address fax:** (541) 447-6705
- **Mailing address:** 1201 NE ELM ST, PRINEVILLE, OR 97754-1206
- **Mailing address phone:** (541) 447-6254
- **Mailing address fax:** (541) 447-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 14-0239 | OR | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 38Z313 | MEDICARE SWING BED PROVID | OR |