GRANDE RONDE HOSPITAL, INC

Address: 300 E Jefferson St Ste 101, Boise, ID 83712-6221
Phone: 2083364141

GRANDE RONDE HOSPITAL, INC (NPI# 1497807812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497807812
Entity Type Organization
Organization Name GRANDE RONDE HOSPITAL, INC
Practice Address 300 E Jefferson St Ste 101
Boise
ID 83712-6221
Mailing Address Po Box 3290
La Grande
OR 97850-7290
Practice Telephone 2083364141
Practice Fax Number 2083364035
Mailing Telephone 5419631555
Mailing Fax Number 5419631845
Enumeration Date 2007-01-17
Last Update Date 2011-04-07
Authorized Official Name MR. JAMES MATTES (PRESIDENT CEO)
Authorized Official Telephone 5419631454
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
14-0728 OR Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043694342 Grande Ronde Hospital, Inc Clinic/Center 570 8th, Elgin, OR 97827 2015-07-16
1871972729 Grande Ronde Hospital, Inc Clinic/Center 142 E Dearborn St, Union, OR 97883 2015-05-26
1306872718 Grande Ronde Hospital, Inc Hospice Care, Community Based 802 Sunset Dr, La Grande, OR 97850-1361 2006-06-25
1194194902 Grande Ronde Hospital, Inc Family Medicine 1717 Arlington Ave, Caldwell, ID 83605-4802 2015-09-22
1326423864 Grande Ronde Hospital, Inc Urology 700 Sunset Dr Ste A, La Grande, OR 97850-1260 2015-07-27
1780068080 Grande Ronde Hospital, Inc Clinic/Center 142 E Dearborn, Union, OR 97883 2015-07-16
1477932325 Grande Ronde Hospital, Inc Clinic/Center 1400 Division St, Elgin, OR 97827 2015-05-26
1689061491 Grande Ronde Hospital, Inc Clinic/Center 610 Sunset Dr, La Grande, OR 97850-1269 2015-04-20
1609980655 Grande Ronde Hospital, Inc Medicare Defined Swing Bed Unit 900 Sunset Dr, La Grande, OR 97850-1362 2006-08-18
1285664037 Grande Ronde Hospital, Inc Home Health 900 Sunset Dr, La Grande, OR 97850-1362 2006-07-04

Office Location

Street Address 300 E JEFFERSON ST STE 101
City BOISE
State ID
Zip Code 83712-6221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841782083 Athena Denice Evans-Campbell Registered Nurse 300 E Jefferson St Ste 101, Boise, ID 83712-6221 2018-06-04
1295189264 Sean M. Smart Nurse Practitioner 300 E Jefferson St Ste 101, Boise, ID 83712-6221 2016-04-15
1437598059 Sharon L Krasovich Registered Nurse 300 E Jefferson St Ste 101, Boise, ID 83712-6221 2013-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke'S Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
Find all providers in zip 83712

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790162345 University of Utah Adult Services Internal Medicine 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 2015-05-04
1730285719 Beth R Malasky Internal Medicine 6140 Curtisian, Ste 200, Boise, ID 83704-0107 2006-09-16
1730192329 Cardiovascular Consultants of Idaho Internal Medicine 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 2006-08-14
1841234747 Samual Bass Internal Medicine 300 E Jefferson, Ste 101, Boise, ID 83712 2006-06-15
1407814411 Frederick R. Badke Internal Medicine 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 2006-05-02
1447244819 Eric B Stuart Internal Medicine 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 2005-08-31
1114305091 University of Utah Adult Services Internal Medicine 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 2015-05-12
1093040479 Saint Alphonsus Specialty Services Inc Internal Medicine 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 2009-10-02
1942474853 Daniel Kp Noonan Internal Medicine 287 W Jefferson St, Boise, ID 83702-6045 2008-04-22
1114106952 David N Sim Internal Medicine 6014 W Emerald St, Boise, ID 83704-8855 2007-10-29
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.