Organization
GRANDE RONDE HOSPITAL, INC.
Active
Other names
REGIONAL MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A MATTES (PRESIDENT/CEO)
(541) 963-1454
Entity
Organization
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 663-3138
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
140728
OR
Other
Enumeration date
04/07/2015
Last updated
11/21/2016
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