National Provider Identifier Database

PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL PROVIDENCE HEALTH SERVICES OREGON
Critical Access

Contact Information

PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
LBN PROVIDENCE HEALTH & SERVICES OREGON
810 12TH ST
HOOD RIVER, OR  97031
Phone: 503-451-3000
Fax: 503-215-0290
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL

NPI Number 1255429338
Legal business name
LBN		 PROVIDENCE HEALTH & SERVICES OREGON
Doing business as
DBA		 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity Organization
Organization subpart Yes
Enumeration date 10/11/2006
Last updated 05/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 210241
  • OR Other: 227600 MEDICAID CLINIC OUTPT
  • OR Other: 330045000001 PROVIDENCE HEALTH PLAN
  • OR Other: CH9950 RAILROAD MEDICARE
  • OR Other: 804295000 REGENCE CLINIC NUMBER
  • OR Other: 138000604 REGENCE HOSPITAL NUMBER
  • OR Other: 195086600 US DEPT OF LABOR WC
  • OR Other: 5411 WA DEPT OF LABOR CLINIC
  • OR Other: 5982 WA DEPT OF LABOR HOSPITAL
  • OR Other: 3300415 WASHINGTON MEDICAID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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