GRANDE RONDE HOSPITAL WALK-IN CLINIC
NPI 1093296519
Clinic/Center - Rural Health in La Grande, OR

NPI Status: Active since August 23, 2018

Contact Information

10303 S WALTON RD
LA GRANDE, OR
ZIP 97850
Phone: (541) 962-7845
Fax: (541) 975-5225

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 38D2185624
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-04-2026

About GRANDE RONDE HOSPITAL WALK-IN CLINIC

This page provides the complete NPI Profile along with additional information for Grande Ronde Hospital Walk-in Clinic, a primary care provider established in La Grande, Oregon operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1093296519 assigned on August 2018. The practitioner's primary taxonomy code is 261QR1300X with license number 140728 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Grande Ronde Hospital Walk-in Clinic. The authorized official of this NPI record is Angela J Hibbert (Credentialing Coordinator)

NPI
1093296519
Provider Legal Name
GRANDE RONDE HOSPITAL, INC.
Other Organization Name
GRANDE RONDE HOSPITAL WALK-IN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10303 S WALTON RD LA GRANDE, OR 97850
Location Phone
(541) 962-7845
Location Fax
(541) 975-5225
Mailing Address
PO BOX 3290 LA GRANDE, OR 97850
Mailing Phone
(541) 962-7845
Mailing Fax
(541) 975-5225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2018
Last Update Date
06-12-2020
Code Navigator

A primary care provider (PCP) like Grande Ronde Hospital Walk-in Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
140728
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA J HIBBERT

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(541) 963-1967

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2185624
Facility Type
Rural Health Clinic
Certificate Effective Date
June 05, 2024
Certificate Expiration Date
June 04, 2026
Laboratory Director
NICOLE TURNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grande Ronde Hospital Walk-in Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093296519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183491252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 4 + 9 + 1 + 2 + 5 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1093296519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275158453GRANDE RONDE HOSPITAL, INC.
Organization
Clinic/Center (Urgent Care)10303 S WALTON RD
LA GRANDE, OR 97850
(541) 962-7845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093296519, enumerated in the NPI registry as an "organization" on August 23, 2018

The provider is located at 10303 S Walton Rd La Grande, Or 97850 and the phone number is (541) 962-7845

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 38D2185624 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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