Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Other names
Good Shepherd Home Medical Equipment, and Good Shepherd Medical Center, Good Shepherd Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS (REVENUE CYCLE DIRECTOR)
(541) 667-3438
Entity
Organization
Contact information
Practice address
435 NW 11TH ST, HERMISTON, OR 97838-1412
(541) 667-3477
(541) 667-3476
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3445
(541) 667-3454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082489000
BLUE CROSS
OR
01
—
129688
WASHINGTON DEPT OF L & I
OR
01
—
194609800
US DEPT OF LABOR
OR
05
—
227927
—
OR
01
—
7260409
WASHINGTON DSHS
WA
Enumeration date
05/20/2006
Last updated
05/07/2021
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