Grande Ronde Hospital Inc

A Medicare group practice based in La Grande, OR: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 0547170789), with 169 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547170789The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
9
Group size
97 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20150728004550 OR Part A Provider - Rural Health Clinic 1689061491
O20150709003011 OR Part A Provider - Rural Health Clinic 1376939314
O20150909002653 OR Part A Provider - Rural Health Clinic 1780068080
O20150909002846 OR Part A Provider - Rural Health Clinic 1043694342
O20061104000155 OR Part A Provider - Critical Access Hospital 1467446195
O20050705000540 OR Part A Provider - Home Health Agency 1285664037
O20031124000758 OR Part B Supplier - Clinic/Group Practice 1467446195
O20071003000388 OR Part A Provider - Critical Access Hospital 1609980655
O20210303002831 OR Part A Provider - Rural Health Clinic 1093296519

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 169

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (167) or whom Care Compare lists as members (97).

Sources for this page