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Organization
GRANDE RONDE HOSPITAL, INC
Active
Organization
GRANDE RONDE HOSPITAL, INC
Active
Other names
Grande Ronde Hospital, Grande Ronde Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J HIBBERT (CREDENTIALING COORDINATOR)
(541) 963-1967
Entity
Organization
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
(541) 963-1845
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-8421
(541) 963-1845
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
394792
OR
Other
Enumeration date
08/18/2006
Last updated
12/16/2019
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