Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Parent organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Other names
Good Shepherd Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD HEALTH CARE SYSTEM
Authorized official
JONATHAN EDWARDS (FINANCE DIRECTOR)
(541) 667-3438
Entity
Organization
Contact information
Practice address
1050 W ELM AVE, SUITE #110, HERMISTON, OR 97838-2700
(541) 567-3797
(541) 567-7720
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3438
(541) 667-3444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276278
—
OR
Enumeration date
10/18/2006
Last updated
12/11/2019
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