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

Active since July 04, 2006CLIA Certified · 3 labs
506 4TH ST, LA GRANDE, OR 97850(541) 963-3138(541) 963-5918 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Grande Ronde Hospital Internal Medicine Clinic NPPES

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

GRANDE RONDE HOSPITAL INTERNAL MEDICINE CLINIC (NPI 1174553929) is a healthcare organization registered as a primary care in La Grande, Oregon and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Jeremy P Davis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174553929
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRANDE RONDE HOSPITAL, INC.
Location Address506 4TH STLa Grande, OR 97850-1906
Mailing AddressPo Box 460La Grande, OR 97850-0460 · (541) 963-3138 · Fax (541) 963-5918
Phone(541) 963-3138
Fax(541) 963-5918
Organization SubpartNo
Authorized OfficialJeremy P DavisPresident/ceo · (541) 963-8421
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1174553929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
506 4TH ST, La Grande, OR 97850
Open in Google Maps ↗

Other Names 2

Doing Business AsGrande Ronde Hospital Internal Medicine Clinic
Doing Business AsGrande Ronde Hospital Regional Medical Clinic

Other Identifiers 2

OtherDE0048OR · Rr Medicare
Medicaid276310OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2185620

Grande Ronde Hospital Dermatology · La Grande, OR
Active · expires Jun 4, 2028
CLIA Number38D2185620
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorJoseph Hibbert
Laboratory Phone(541) 963-8421
Laboratory LocationGrande Ronde Hospital Dermatology700 Sunset Dr, Suite F, La Grande, OR 97850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 38D0628703

Grande Ronde Hospital Clinical Laboratory · La Grande, OR
Active · expires Dec 31, 2027
CLIA Number38D0628703
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Joseph Hibbert
Laboratory Phone(541) 963-8421
Laboratory LocationGrande Ronde Hospital Clinical Laboratory900 Sunset Drive, La Grande, OR 97850
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 38D2153754

Grande Ronde Therapy · La Grande, OR
Active · expires Aug 28, 2026
CLIA Number38D2153754
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorJoseph Hibbert
Laboratory Phone(541) 963-8421
Laboratory LocationGrande Ronde Therapy610 Sunset Drive, La Grande, OR 97850
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY JACK TISHMAN
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
DR. MICHELLE TOLLE D.O.
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
TRACEY KATHLEEN TRACY MD
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
EMILIA ARDEN D.O.
Internal Medicine (Cardiovascular Disease)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 963-2328
KATELYN LEIGH PRESLEY CHW
Community Health Worker
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3147
MS. JESSICA EILEEN MARTIN MSN, RN, FNP-BC
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
LINDSAY CRAWFORD NP-PP
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
BROOKE DAVIS DO
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138

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 Grande Ronde Hospital, Inc.'s NPI number?

The NPI number for Grande Ronde Hospital, Inc. is 1174553929. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Grande Ronde Hospital Internal Medicine Clinic and Grande Ronde Hospital Regional Medical Clinic.

Where is Grande Ronde Hospital, Inc. located?

Grande Ronde Hospital, Inc. is located at 506 4th St, La Grande, OR 97850. The listed phone number is (541) 963-3138.

What is Grande Ronde Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Grande Ronde Hospital, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Grande Ronde Hospital, Inc. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Grande Ronde Hospital, Inc. 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 Grande Ronde Hospital, Inc. was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.