Active NPI
Holy Rosary Medical Center
- Internal Medicine Physician
- Ontario, OR
National Provider Identifier
1922066786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C45116 | Other | OR | RR MEDICARE |
| 134311 | Medicaid | OR |
Other names 1
- HOLY ROSARY PHYSICIANS
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.