Grande Ronde Hospital Childrens Clinic

LBN: Grande Ronde Hospital
Grande Ronde Hospital Childrens Clinic is an health care organization with primary practice located at 612 Sunset Dr , La Grande OR 97850-1248. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Grande Ronde Hospital can be contacted via phone (541) 963-9123, or through Mattes, James via phone (541) 963-1469.

Contact Information

Primary practice address
612 Sunset Dr La Grande OR 97850-1248
Phone: (541) 963-9123
Fax: (541) 962-0695
Website:
Map and Directions
Authorized official contact:
Name: Mattes, James
Phone: (541) 963-1469

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 394792 Oregon

Profile Details

NPI number 1861434615
LBN Legal business name Grande Ronde Hospital
DBA Doing business as Grande Ronde Hospital Childrens Clinic
Authorized official Mattes, James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861434615 NPPES
Oregon MEDICAID 067801

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