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Organization

GRANDE RONDE HOSPITAL, INC

Active
Other names
GRANDE RONDE HOSPITAL SLEEP CLINIC -CALDWELL
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES A MATTES (PRESIDENT/CEO)
(541) 963-1842
Entity
Organization

Contact information

Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 367-4817
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-8421
(541) 963-1845

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
09/22/2015
Last updated
09/22/2015
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