GRANDE RONDE HOSPITAL, INC.
NPI 1467446195
General Acute Care Hospital - Critical Access in La Grande, OR
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 38D0628688
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-31-2027
About GRANDE RONDE HOSPITAL, INC.
This page provides the complete NPI Profile along with additional information for Grande Ronde Hospital, Inc., a provider established in La Grande, Oregon operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1467446195 assigned on September 2005. The practitioner's primary taxonomy code is 282NC0060X with license number 140728 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jeremy P Davis (President/ceo)
- NPI
- 1467446195 Verify this NPI
- Provider Name
- GRANDE RONDE HOSPITAL, INC.
- Entity Type
- Organization
- Location Address
- 900 SUNSET DR LA GRANDE, OR 97850
- Location Phone
- (541) 963-1472
- Location Fax
- (541) 963-1862
- Mailing Address
- PO BOX 3290 LA GRANDE, OR 97850
- Mailing Phone
- (541) 963-8421
- Mailing Fax
- (541) 963-1845
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2005
- Last Update Date
- 10-24-2025
- Code Navigator
Location Map
Secondary Locations
- 700 Sunset Dr Ste F
LA Grande, OR 97850
(541) 663-3030 - 10303 S Walton Rd
LA Grande, OR 97850
(541) 962-7845 - 710 Sunset Dr Ste E
LA Grande, OR 97850
(541) 663-3150 - 700 Sunset Dr Ste C
LA Grande, OR 97850
(541) 663-3135 - 710 Sunset Dr Ste F
LA Grande, OR 97850
(541) 663-3100 - 700 Sunset Dr Ste A
LA Grande, OR 97850
(541) 963-1919
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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 140728
- License State
- OR
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 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 282NC0060X | Hospitals | General Acute Care Hospital |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- 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
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - 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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 067801 | 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
- 38D0628688
- Facility Type
- Hospital
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- DR. R PATRICK MCCARTHY MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Grande Ronde Hospital, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LA GRANDE, OR 97850
LA GRANDE, OR 97850
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467446195, enumerated as an "organization" on September 08, 2005.
The provider is located at 900 SUNSET DR LA GRANDE, OR 97850 and the phone number is (541) 963-1472.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
