Organization Active NPI

Holy Rosary Medical Center

  • Internal Medicine Physician
  • Ontario, OR
National Provider Identifier
1922066786
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOLY ROSARY MEDICAL CENTER
Practice address
351 SW 9TH St
Ontario, OR 97914-2639
Phone
(541) 881-7000
NPI assigned
May 2, 2006
Organization subpart
Yes
Parent organization
HOLY ROSARY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Tammy Graham
Title
Patient Account Rep
Phone
(541) 881-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

351 SW 9TH St
Ontario, OR 97914-2639

Mailing address

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

Other identifiers 2

IdentifierTypeStateIssuer
C45116OtherORRR MEDICARE
134311MedicaidOR

Other names 1

  • HOLY ROSARY PHYSICIANS Doing business as

National Provider Directory

National Provider Directory
Part of
Holy Rosary Medical Cen

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1922066786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142639",
            "telephone_number": "541-881-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142639",
            "telephone_number": "541-881-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ROSARY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY ROSARY MEDICAL CENTER",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PATIENT ACCOUNT REP",
        "authorized_official_telephone_number": "541-881-7373"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C45116",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134311",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY ROSARY PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.