# GRANDE RONDE HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grande Ronde Hospital, Grande Ronde Hospital Swing Bed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609980655
- **Authorized official:** ANGELA J HIBBERT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (541) 963-1967

## Contact information

- **Practice address:** 900 SUNSET DR, LA GRANDE, OR 97850-1362
- **Practice address phone:** (541) 963-8421
- **Practice address fax:** (541) 963-1845
- **Mailing address:** PO BOX 3290, LA GRANDE, OR 97850-7290
- **Mailing address phone:** (541) 963-8421
- **Mailing address fax:** (541) 963-1845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 394792 | OR | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 12/16/2019