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PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
LBN PROVIDENCE HEALTH & SERVICES OREGON

Critical Access

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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 Specialty Code Provider Type

Critical Access

 282NC0060X A0[7] Critical Access Hospital
Indicates primary specialty

NPI Profile & details for PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL

NPI # 1255429338
LBN Legal business name PROVIDENCE HEALTH & SERVICES OREGON
DBA Doing business as PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/11/2006
Last updated 05/15/2025 - More than a year ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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