Organization
GRANDE RONDE HOSPITAL, INC
Active
Other names
Grande Ronde Hospital Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY P DAVIS (PRESIDENT/CEO)
(541) 963-1454
Entity
Organization
Contact information
Practice address
909 ADAMS AVE, LA GRANDE, OR 97850-2570
(541) 963-2273
(541) 963-1872
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1967
(541) 963-1837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
395287
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049239
—
OR
Enumeration date
07/04/2006
Last updated
10/24/2025
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