National Provider Identifier Database

GRANDE RONDE HOSPITAL INC
Critical Access

Contact Information

GRANDE RONDE HOSPITAL, INC.
900 SUNSET DR
LA GRANDE, OR  97850-3290
Phone: 541-963-1472
Fax: 541-963-1862
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Clinic/Center 261Q00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Multi-Specialty 261QM1300X
Physical Therapy 261QP2000X
Primary Care 261QP2300X
Sleep Disorder Diagnostic 261QS1200X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for GRANDE RONDE HOSPITAL, INC.

NPI Number 1467446195
Legal business name
LBN		 GRANDE RONDE HOSPITAL, INC.
Authorized official JEREMY DAVIS - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 09/08/2005
Last updated 10/24/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 140728
  • OR Medicaid: 067801

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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