GRANDE RONDE HOSPITAL, INC – NPI #1497807812
Internal Medicine

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.

GRANDE RONDE HOSPITAL, INC is a provider located in BOISE, ID. NPPES has assigned the NPI number 1497807812 to GRANDE RONDE HOSPITAL, INC on January 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 15 years ago on Apr 07, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRANDE RONDE HOSPITAL, INC below.

NPI Profile for
GRANDE RONDE HOSPITAL, INC

NPI Number
1497807812
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRANDE RONDE HOSPITAL, INC
Primary location
300 E JEFFERSON ST STE 101
BOISE, ID 83712-6221
Phone: (208) 336-4141 Fax: (208) 336-4035
Mailing address
PO BOX 3290
LA GRANDE, OR 97850-7290
Phone: (541) 963-1555 Fax: (541) 963-1845
Organization Subpart
No
Authorized Official
JAMES MATTES
PRESIDENT CEO
Phone: (541) 963-1454
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
OR 14-0728

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.