NPIMap

Organization Active NPI

Good Shepherd Health Care System

Doing business as Good Shepherd Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Hermiston, OR
National Provider Identifier
1184678567
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOOD SHEPHERD HEALTH CARE SYSTEM
Doing business as
Good Shepherd Home Medical Equipment
Practice address
435 NW 11TH St
Hermiston, OR 97838-1412
Phone
(541) 667-3477
Fax
(541) 667-3476
NPI assigned
May 20, 2006
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan Edwards
Title
Revenue Cycle Director
Phone
(541) 667-3438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OR Primary

Addresses

Primary practice location

435 NW 11TH St
Hermiston, OR 97838-1412

Mailing address

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3445

Other identifiers 5

IdentifierTypeStateIssuer
082489000OtherORBLUE CROSS
7260409OtherWAWASHINGTON DSHS
194609800OtherORUS DEPT OF LABOR
129688OtherORWASHINGTON DEPT OF L & I
227927MedicaidOR

Other names 2

  • Good Shepherd Home Medical Equipment Doing business as
  • Good Shepherd Home Medical Equipment, and Good Shepherd Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930049501 OR DME Supplier - HospitalDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9133033764 Practice locations: Hermiston, OR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Good Shepherd Home Medical Equipmen435 NW 11TH St, Hermiston, OR 97838-1412(541) 667-3477 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pumps and/or Supplies|Neuromuscular Elect Stimulators (NMES)/Suppl… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
TLC Home Health Medic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

435 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3477

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1184678567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-667-3445",
            "fax_number": "541-667-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381412",
            "telephone_number": "541-667-3477",
            "fax_number": "541-667-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "541-667-3438"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "082489000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DSHS",
            "identifier": "7260409",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "194609800",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPT OF L & I",
            "identifier": "129688",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227927",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Shepherd Home Medical Equipment, and Good Shepherd Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.