Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Other names
Vange John Memorial Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E BURKE (PRESIDENT AND CEO)
(541) 667-3400
Entity
Organization
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
(541) 667-3454
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
(541) 667-3454
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11096
WASHINGTON L&I
WA
05
—
298808
—
OR
01
—
3001302
WASHINGTON DSHS
WA
01
—
7260409
WASHINGTON DSHS
WA
01
—
B80023
BLUE CROSS
OR
Enumeration date
05/23/2006
Last updated
08/16/2013
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