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Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Other names
Good Shepherd Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS (FINANCE DIRECTOR)
(541) 667-3438
Entity
Organization
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047258
—
OR
01
—
1380023
BLUE CROSS
OR
Enumeration date
06/14/2006
Last updated
05/13/2021
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