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Organization

ST ANTHONY HOSPITAL

Active
Other names
ST ANTHONY HOSPITAL DME
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN Z TAYLOR (CFO)
(541) 278-3220
Entity
Organization

Contact information

Practice address
1425 SOUTHGATE, PENDLETON, OR 97801-3845
(541) 278-3258
Mailing address
1601 SE COURT AVE, PENDLETON, OR 97801-3217
(541) 276-5121

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38-1319
MEDICARE PROVIDER NO
OR
Enumeration date
08/16/2007
Last updated
07/21/2022
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