Grande Ronde Hospital
Pediatrics
Grande Ronde Hospital is a La Grande, Oregon based Pediatric center with medical specialization in
General Pediatrics. Grande Ronde Hospital is doing business as
Grande Ronde Hospital Childrens Clinic.
It is located at
612 Sunset Dr, La Grande, Oregon - 97850-1248. They can be contacted on phone at
541-963-9123 and fax number 541-962-0695.
NPI number (Unique professional ID) for Grande Ronde Hospital is
1861434615 which was assigned by NPPES on 12 Jun, 2006 and it was last updated on 09 Nov, 2007.
Grande Ronde Hospital license number is
394792 for Pediatrics (208000000X) in Oregon.
Grande Ronde Hospital is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Grande Ronde Hospital basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Grande Ronde Hospital |
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| Other Name : | Grande Ronde Hospital Childrens Clinic |
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Business Address:
Grande Ronde Hospital address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 612 Sunset Dr
La Grande, OR, 97850-1248
United States |
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| Phone Number : | 541-963-9123 |
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| Fax Number : | 541-962-0695 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861434615 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jun, 2006 |
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| Last Updated On : | 09 Nov, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | James Mattes |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 541-963-1469 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grande Ronde Hospital are as mentioned. Primary taxonomy code for Grande Ronde Hospital is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 394792 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Grande Ronde Hospital such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 067801 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 612 Sunset Dr
La Grande, OR, 97850-1248
United States |
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| Phone Number : | 541-963-9123 |
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| Fax Number : | 541-962-0695 |
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Business Location:
Patients can refer following map for directions to
Grande Ronde Hospital practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.