GRAND RONDE HEALTH AND WELLNESS CENTER
NPI 1174666358
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Grand Ronde, OR

NPI Status: Active since February 15, 2007

Contact Information

9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347
Phone: (503) 879-2236
Fax: (503) 879-5089

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Indian Health Service/Tribal/Urban India...
Accepts Insurance
CLIA Number: 38D0862855
CLIA Cert. Type: Federally Qualified Health Center
CLIA Exp. Date: 12-18-2027

About GRAND RONDE HEALTH AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Grand Ronde Health And Wellness Center, a provider established in Grand Ronde, Oregon operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1174666358 assigned on February 2007. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Grand Ronde Health And Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Grand Ronde Health And Wellness Center. The authorized official of this NPI record is Kelly D Rowe (Executive Director Health Services)

NPI: 1174666358
Provider Legal Name: CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
Other Organization Name: GRAND RONDE HEALTH AND WELLNESS CENTER
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 9605 GRAND RONDE RD GRAND RONDE, OR 97347
Location Phone: (503) 879-2236
Location Fax: (503) 879-5089
Mailing Address: PO BOX 338 GRAND RONDE, OR 97347
Mailing Phone: (503) 879-2236
Mailing Fax: (503) 879-5089
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-15-2007
Last Update Date: 02-28-2024
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Location Map

Secondary Locations

1011 Commercial St NE Ste 110
Salem, OR 97301
(503) 983-9900
3580 SE 82nd Ave
Portland, OR 97266
(971) 339-9240

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: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Taxonomy Code: 332800000X
Type: Suppliers
Taxonomy Description: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101Y00000X	Behavioral Health & Social Service Providers	Counselor
2	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)
3	111N00000X	Chiropractic Providers	Chiropractor
4	1223G0001X	Dental Providers	Dentist General Practice
5	152W00000X	Eye and Vision Services Providers	Optometrist
6	208D00000X	Allopathic & Osteopathic Physicians	General Practice
7	261QC1500X	Ambulatory Health Care Facilities	Clinic/Center Community Health
8	261QF0400X	Ambulatory Health Care Facilities	Clinic/Center Federally Qualified Health Center (FQHC)	126883 (OR)
9	261QR0200X	Ambulatory Health Care Facilities	Clinic/Center Radiology	445142 (OR)
10	291U00000X	Laboratories	Clinical Medical Laboratory	38D0862855 (OR)
11	333600000X	Suppliers	Pharmacy	1559 (OR)
12	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family
13	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Primary Care

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

BridgeSpan Health Company

BridgeSpan Standard Bronze Plan - EPO
BridgeSpan Standard Gold Plan - EPO
BridgeSpan Standard Silver Plan - EPO

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze $0 Copay PCP Visits - PPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Bronze Premier - PPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Expanded Bronze Standard - PPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold $0 Copay PCP Visits - PPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Share - PPO

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000 - 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

Regence BlueCross BlueShield of Oregon

Bronze 8000 Individual Connect - EPO
Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
Bronze HSA 7000 Individual Connect - EPO
Gold 2300 Individual Connect - EPO
Gold 2300 Legacy - EPO
Regence Standard Bronze Plan Individual Connect - EPO
Regence Standard Bronze Plan Legacy - EPO
Regence Standard Gold Plan Individual Connect - EPO
Regence Standard Gold Plan Legacy - EPO

UnitedHealthcare

Lone Star - Smile Now - PPO
Smile Now Arizona - No Waiting Period PPO - PPO
Smile Now Michigan - No Waiting Period PPO - PPO
Smile Now Ohio - No Waiting Period PPO - PPO
Smile Now Texas- No Waiting Period Plan - PPO
Smile Now Utah - No Waiting Period PPO - PPO

Medicare

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

Medicaid

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: KELLY D ROWE
Authorized Official Title: EXECUTIVE DIRECTOR HEALTH SERVICES
Authorized Official Phone: (503) 879-2075

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
500786332	MEDICAID (05)	OR

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: 38D0862855
Facility Type: Federally Qualified Health Center
Certificate Effective Date: December 19, 2025
Certificate Expiration Date: December 18, 2027
Laboratory Director: KEVIN F. FOLEY
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Grand Ronde Health And Wellness Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174666358, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 6 + 1 + 2 + 3 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1174666358.