GRANDE RONDE HOSPITAL INTERNAL MEDICINE CLINIC
NPI 1174553929
Clinic/Center - Primary Care in La Grande, OR

NPI Status: Active since July 04, 2006

Contact Information

506 4TH ST
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-3138
Fax: (541) 963-5918

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance

About GRANDE RONDE HOSPITAL INTERNAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Grande Ronde Hospital Internal Medicine Clinic, a primary care provider established in La Grande, Oregon operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1174553929 assigned on July 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Grande Ronde Hospital Internal Medicine Clinic. The authorized official of this NPI record is Jeremy P Davis (President/ceo)

NPI
1174553929
Provider Legal Name
GRANDE RONDE HOSPITAL, INC.
Other Organization Name
GRANDE RONDE HOSPITAL INTERNAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
506 4TH ST LA GRANDE, OR 97850
Location Phone
(541) 963-3138
Location Fax
(541) 963-5918
Mailing Address
PO BOX 460 LA GRANDE, OR 97850
Mailing Phone
(541) 963-3138
Mailing Fax
(541) 963-5918
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2006
Last Update Date
07-26-2021
Code Navigator

A primary care provider (PCP) like Grande Ronde Hospital Internal Medicine 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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

JEREMY P DAVIS

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(541) 963-8421

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DE0048OTHER (01)ORRR MEDICARE
276310MEDICAID (05)OR 

Reviews for GRANDE RONDE HOSPITAL INTERNAL MEDICINE CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1174553929
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144105694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 5 + 6 + 9 + 4 + 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 1174553929 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952330557DR. STANLEY KEITH GRAHAM M.D.
Individual
Internal Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 963-3138
1497785042DR. STEPHEN ROBERT BUMP M.D.
Individual
Internal Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 963-3138
1306876958DR. SUSAN KATHLEEN RICE M.D.
Individual
Internal Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 963-3138
1770505778MRS. SANDI WANTA RN, BSN
Individual
Nurse Practitioner (Family)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1629292404 ANDA KARLEEN BALDERRAMA YANGSON MD
Individual
Family Medicine506 4TH ST
LA GRANDE, OR 97850
(514) 663-3138
1558405878DR. RODRIGO R LIM M.D.
Individual
Psychiatry & Neurology (Neurology)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1134467368MS. JESSICA EILEEN MARTIN MSN, RN, FNP-BC
Individual
Nurse Practitioner (Family)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1871700450DR. ANDREW CLINTON PEARSON D.O.
Individual
Surgery506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1285041962 COSETTE TURNBOW NP-C
Individual
Nurse Practitioner (Family)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1356454631 DEBRA STUDER DO
Individual
Family Medicine (Geriatric Medicine)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1730541723 JAMES SHEEHY
Individual
Social Worker (Clinical)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1376939314GRANDE RONDE HOSPITAL, INC.
Organization
Clinic/Center (Rural Health)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1396233110 DOREEN LYNN DOBYNS RN-BC, CDE
Individual
Registered Nurse (Diabetes Educator)506 4TH ST
LA GRANDE, OR 97850
(541) 663-2575
1962804641 CARLY GRAY NP
Individual
Nurse Practitioner (Adult Health)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1295123933 RAYLENE EISELE CNP
Individual
Nurse Practitioner (Family)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1063867661DR. MICHELLE TOLLE D.O.
Individual
Family Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1275878894MR. BRYAN TOLLE D.O.
Individual
Family Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1164838629 LINDSAY CRAWFORD NP-PP
Individual
Nurse Practitioner (Family)506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1164839320 BROOKE DAVIS DO
Individual
Family Medicine506 4TH ST
LA GRANDE, OR 97850
(541) 663-3138
1114123684 EMILIA ARDEN D.O.
Individual
Internal Medicine (Cardiovascular Disease)506 4TH ST
LA GRANDE, OR 97850
(541) 963-2328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174553929, enumerated in the NPI registry as an "organization" on July 04, 2006

The provider is located at 506 4th St La Grande, Or 97850 and the phone number is (541) 963-3138

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

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

This NPI record was last updated on July 04, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.