Organization
GOOD SHEPHERD HEALTH CARE SYSTEM
Active
Other names
Good Shepherd Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS (FINANCE DIRECTOR)
(541) 667-3438
Entity
Organization
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838
(541) 667-3400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047258
—
OR
01
—
1380023
BLUE CROSS
OR
Enumeration date
06/14/2006
Last updated
05/13/2021
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