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Organization

PROVIDENCE HEALTH & SERVICES OREGON

Active
Parent organization
PROVIDENCE HEALTH & SERVICES OREGON
Other names
Providence Hood River Memorial Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES OREGON
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization

Contact information

Practice address
810 12TH ST, HOOD RIVER, OR 97031-1587
(503) 451-3000
(503) 215-0290
Mailing address
PO BOX 31001-4199, PASADENA, CA 91110-4199
(503) 451-3000
(503) 215-0290

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138000604
REGENCE HOSPITAL NUMBER
OR
01
195086600
US DEPT OF LABOR WC
OR
05
210241
OR
01
227600
MEDICAID CLINIC OUTPT
OR
01
3300415
WASHINGTON MEDICAID
OR
01
330045000001
PROVIDENCE HEALTH PLAN
OR
01
5411
WA DEPT OF LABOR CLINIC
OR
01
5982
WA DEPT OF LABOR HOSPITAL
OR
01
804295000
REGENCE CLINIC NUMBER
OR
01
CH9950
RAILROAD MEDICARE
OR
Enumeration date
10/11/2006
Last updated
05/15/2025
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