NPIMap

Organization Active NPI

St.Anthony Hospital We Care Clinic

  • Clinic/Center
  • Pendleton, OR
National Provider Identifier
1194010116
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
201150057 Issued in OR
Legal business name
ST.ANTHONY HOSPITAL WE CARE CLINIC
Practice address
1601 SE Court Ave
Pendleton, OR 97801-3217
Phone
(541) 966-0508
NPI assigned
Jun 17, 2011
Organization subpart
Yes
Parent organization
ST.ANTHONY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Justin Pearce, JD
Title
Director of Medical Services
Phone
(541) 966-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 201150057 OR Primary

Addresses

Primary practice location

1601 SE Court Ave
Pendleton, OR 97801-3217

Mailing address

1601 SE Court
Pendleton, OR 97801
Phone (541) 278-8183

National Provider Directory

National Provider Directory
Tax ID family
Centerville Medical Cen5 organizations share this tax ID, including this one
Part of
Centerville Medical Cen

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1194010116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SE COURT",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-278-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-966-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.ANTHONY HOSPITAL WE CARE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.ANTHONY HOSPITAL",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "541-966-0508",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "201150057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.