Organization
GRANDE RONDE HOSPITAL, INC
Active
Other names
Grande Ronde Hospital Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P SEYMOUR (CFO)
(541) 963-1463
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) 963-1453
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
395287
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139357
—
OR
Enumeration date
06/25/2006
Last updated
07/26/2021
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