Organization
GRANDE RONDE HOSPITAL, INC
Active
Other names
Grande Ronde Hospital, Grande Ronde Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J HIBBERT (CREDENTIALING COORDINATOR)
(541) 963-1967
Entity
Organization
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
(541) 963-1845
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-8421
(541) 963-1845
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
394792
OR
Other
Enumeration date
08/18/2006
Last updated
12/16/2019
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