Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Parent organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Other names
GOOD SHEPHERD MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD HEALTH CARE SYSTEM
Authorized official
MR. JAN PETER (CHIEF FINANCIAL OFFICER)
(541) 667-3416
Entity
Organization
Contact information
Practice address
600 NW 11TH ST STE E33, HERMISTON, OR 97838-8604
(541) 667-3740
(541) 667-3732
Mailing address
610 NW 11TH ST, E37, HERMISTON, OR 97838-6601
(541) 667-3486
(541) 667-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/09/2006
Last updated
07/29/2019
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