Pioneer Memorial Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

14-0239 Issued in OR

Legal business name

PIONEER MEMORIAL HOSPITAL

Practice address

1201 NE Elm St
Prineville, OR 97754-1206

Phone

(541) 447-6254

Fax

(541) 447-6705

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Ann Nielsen

Title

Cfo

Phone

(541) 447-2523

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1386830727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541206",
            "telephone_number": "541-447-6254",
            "fax_number": "541-447-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541206",
            "telephone_number": "541-447-6254",
            "fax_number": "541-447-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-447-2523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "14-0239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWING BED PROVID",
            "identifier": "38Z313",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean P Phothiyane, PHARM.D
• Joselene Piedra Rodriguez, DMD
• Elizabeth Kristen Pifer
• Shelissia Marie Pincenti
• Ogilvia Pineda, CADC I
• Pioneer Memorial Hospital
• Rebecca Ann Podhora, PMHNP
• Hope Marie Porterfield, CADC III, LCSW, QMHP
• Laurie Poston, LCPC, LMHC
• Catilyn Bonney Powers

• Medicare Defined Swing Bed Hospital Unit in Prineville, OR
• Providers in Prineville, OR by specialty
• Medicare Defined Swing Bed Hospital Unit in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.