Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Other names
Good Shepherd Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS (COO & CFO)
(541) 667-3412
Entity
Organization
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3400
(541) 667-3715
Mailing address
610 NW 11TH STREET, HERMISTON, OR 97838-9696
(541) 667-3400
(541) 667-3715
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011096
WASHINGTON L & I
WA
05
—
008776
—
OR
01
—
138002300
BLUE CROSS
OR
01
—
194609800
US DEPT OF LABOR
OR
01
—
3001302
WASHINGTON DSHS
WA
01
—
7260409
WASHINGTON DSHS
WA
Enumeration date
05/20/2006
Last updated
02/24/2025
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