GRANDE RONDE HOSPITAL, INC.; NPI #1467446195

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	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Clinic/Center	261Q00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Physical Therapy	261QP2000X
Primary Care	261QP2300X
Sleep Disorder Diagnostic	261QS1200X
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for GRANDE RONDE HOSPITAL, INC.

NPI # 1467446195

LBN Legal business name GRANDE RONDE HOSPITAL, INC.

Authorized official JEREMY DAVIS - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/08/2005

Last updated 10/24/2025 - About 8 months ago

Identifiers

OR	License #	140728
OR	Medicaid	067801

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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GRANDE RONDE HOSPITAL, INC.

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NPI Profile & details for GRANDE RONDE HOSPITAL, INC.

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