Organization
GRANDE RONDE HOSPITAL, INC.
Active
Other names
Grande Ronde Hospital Walk-In Clinic, Grande Ronde Hospital Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J CALLAHAN (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
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
140728
OR
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/23/2018
Last updated
10/21/2025
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