PROVIDENCE HEALTH & SERVICES OREGON
NPI 1073100095
Clinic/Center - Rural Health in Hood River, OR

Active since December 23, 2020
1108 JUNE ST, HOOD RIVER, OR 97031(541) 387-6125 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2025, May 7, 2025, Jun 13, 2023 and 1 more (4 updates tracked since 2020).

About Providence Health & Services Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1073100095), doing business as Providence Hood River Memorial Hospital - Rural Health Clinic, is a healthcare organization registered as a rural health in Hood River, Oregon and active in the NPI registry since December 2020. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1073100095
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address1108 JUNE STHood River, OR 97031-1513
Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateDecember 23, 2020
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1073100095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1108 JUNE ST, Hood River, OR 97031

Other Names 1

Doing Business AsProvidence Hood River Memorial Hospital - Rural Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20210205002485Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

267

Medicare enrollment records show 267 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Emergency Medicine34
Pathology27
Cardiovascular Disease (Cardiology)24
Nurse Practitioner22
Certified Registered Nurse Anesthetist (CRNA)18
Family Practice18
Hospitalist17
Internal Medicine17
22 other specialties90

Nearest to this location (20)

See all 267
Nurse Practitioner
NPI 1194060251
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699901363
1108 JUNE ST
Hood River, OR 97031
(541) 386-5070
✔ PECOSSame address
Internal Medicine
NPI 1720068596
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1407050933
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588717276
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1114906815
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOSSame address
Hospitalist
NPI 1205927142
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265688600
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1699344010
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1326368648
1125 MAY ST STE 202
Hood River, OR 97031
(541) 387-8940
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932326493
1151 MAY ST SUITE 201
Hood River, OR 97031
(541) 387-1300
✔ PECOSSame address
Family Practice
NPI 1679030290
1151 MAY ST STE 201
Hood River, OR 97031
(541) 387-1300
✔ PECOSSame address
Family Practice
NPI 1346353158
1151 MAY ST STE 201
Hood River, OR 97031
(541) 387-1300
✔ PECOSSame address
Hospitalist
NPI 1164513008
1151 MAY ST
Hood River, OR 97031
(541) 399-7552
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871585422
1151 MAY ST SUITE 201
Hood River, OR 97031
(541) 387-1300
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1871766600
1151 MAY ST
Hood River, OR 97031
(541) 387-8992
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366736373
1021 JUNE ST
Hood River, OR 97031
(541) 386-2204
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720412901
1021 JUNE ST
Hood River, OR 97031
(541) 386-3883
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1942284955
1021 JUNE ST
Hood River, OR 97031
(541) 386-2204
✔ PECOSSame address
Orthopedic Surgery
NPI 1528039211
902 12TH ST
Hood River, OR 97031
(541) 387-1337
✔ PECOS✔ Accepts Medicare0.1 mi
See all 267 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1073100095. It was assigned to this organization in the NPPES registry on December 23, 2020. The provider is doing business as Providence Hood River Memorial Hospital - Rural Health Clinic.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 1108 June St, Hood River, OR 97031. The listed phone number is (541) 387-6125.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Providence Health & Services Oregon enrolled in Medicare?

Yes. Providence Health & Services Oregon is registered in the Medicare PECOS enrollment system.

When is Providence Health & Services Oregon's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oregon, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Providence Health & Services Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 267 clinicians in 30 Medicare specialties reassign their Medicare billing to Providence Health & Services Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (34), Pathology (27) and Cardiovascular Disease (Cardiology) (24). Of these, 16 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Oregon accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Providence Health & Services Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.