1. Home
  2. Directory
  3. Oregon
  4. La Grande
  5. General Acute Care Hospital
  6. NPI Profile

GRANDE RONDE HOSPITAL, INC.
NPI 1467446195
General Acute Care Hospital - Critical Access in La Grande, OR

Active since September 08, 2005CLIA 38D0628688 · Microscopy
900 SUNSET DR, LA GRANDE, OR 97850(541) 963-1472(541) 963-1862 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Oct 7, 2021, Jul 26, 2021 and 5 more (8 updates tracked since 2017).

About Grande Ronde Hospital, Inc. NPPES

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

GRANDE RONDE HOSPITAL, INC. (NPI 1467446195) is a healthcare organization registered as a critical access in La Grande, Oregon and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through December 31, 2027, maintains 6 additional practice locations, and lists Jeremy P Davis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1467446195
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameGRANDE RONDE HOSPITAL, INC.
Location Address900 SUNSET DRLa Grande, OR 97850-3290
Mailing AddressPo Box 3290La Grande, OR 97850-7290 · (541) 963-8421 · Fax (541) 963-1845
Phone(541) 963-1472
Fax(541) 963-1862
Organization SubpartNo
Authorized OfficialJeremy P DavisPresident/ceo · (541) 963-8421
Enumeration DateSeptember 8, 2005
Last NPPES UpdateOctober 24, 20258 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1467446195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in OR · 140728
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
900 SUNSET DR, La Grande, OR 97850
Open in Google Maps ↗

Secondary Practice Locations 6

Location 110303 S Walton RdLA Grande, OR 97850-9413 · Phone (541) 962-7845 · Fax (541) 975-5225
Location 2710 Sunset Dr Ste ELA Grande, OR 97850-1200 · Phone (541) 663-3150 · Fax (541) 975-5111
Location 3700 Sunset Dr Ste FLA Grande, OR 97850-1260 · Phone (541) 663-3030 · Fax (541) 975-5201
Location 4700 Sunset Dr Ste ALA Grande, OR 97850-1260 · Phone (541) 963-1919 · Fax (541) 975-5240
Location 5710 Sunset Dr Ste FLA Grande, OR 97850-1200 · Phone (541) 663-3100 · Fax (541) 975-5135
Location 6700 Sunset Dr Ste CLA Grande, OR 97850-1260 · Phone (541) 663-3135 · Fax (541) 975-5104

Other Identifiers 1

Medicaid067801OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grande Ronde Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Grande Ronde Hospital, Inc., which bills Medicare for the services they deliver. Of these, 23 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Nurse Practitioner41
Certified Registered Nurse Anesthetist (CRNA)18
Diagnostic Radiology17
Emergency Medicine15
Family Practice11
General Surgery10
Internal Medicine8
Obstetrics/Gynecology7
17 other specialties44

Nearest to this location (20)

See all 171
Kerma Cook, ANP
Nurse Practitioner
NPI 1730230152
900 SUNSET DR
La Grande, OR 97850
(541) 963-2328
✔ PECOS✔ Accepts MedicareSame address
Melyssa Gleed
Nurse Practitioner
NPI 1780559898
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOSSame address
Brian Hayes
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528995792
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
Same address
Heather Holland, MSW, LCSW
Clinical Social Worker
NPI 1902373616
900 SUNSET DR
La Grande, OR 97850
(541) 663-3138
✔ PECOS✔ Accepts MedicareSame address
Danielle Sisul
Emergency Medicine
NPI 1023275914
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOSSame address
Patrick Archie, MD
Internal Medicine
NPI 1982895835
900 SUNSET DR
La Grande, OR 97850
(541) 963-2328
✔ PECOSSame address
Bradley Close, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649638875
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ Accepts MedicareSame address
Korreene Dubray
Nurse Practitioner
NPI 1154885689
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOSSame address
Geraldine Gardner, D.O.
Cardiovascular Disease (Cardiology)
NPI 1033101696
900 SUNSET DR
La Grande, OR 97850
(541) 963-2328
✔ PECOS✔ Accepts MedicareSame address
Jared Hulme, APRN, DNP, FNP-C
Nurse Practitioner
NPI 1467974618
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
David Ingram, MD
Emergency Medicine
NPI 1376071357
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
Zachary Jacobsen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225808264
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ Accepts MedicareSame address
Sheridan Klinger, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871563296
900 SUNSET DR
La Grande, OR 97850
(541) 963-1401
✔ Accepts MedicareSame address
Stephen Mcilmoil, D.O.
Emergency Medicine
NPI 1598052813
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
John Page, M.D.
Family Practice
NPI 1760493522
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOSSame address
Jacob Sandefur, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770212417
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
Aaron Spracklen, DO
Anesthesiology
NPI 1235174947
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
Roxanna Stephens, RN, CWON
Nurse Practitioner
NPI 1891223848
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ PECOS✔ Accepts MedicareSame address
Seymour Bronstein, M.D.
Hematology/Oncology
NPI 1114984424
900 SUNSET DR
La Grande, OR 97850
(541) 963-2828
✔ PECOSSame address
Aaron Grigg, MD
Pediatric Medicine
NPI 1083804918
900 SUNSET DR
La Grande, OR 97850
(541) 663-3159
✔ PECOSSame address
See all 171 clinicians

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

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0628688

Grande Ronde Hospital Regional Medical Plaza · La Grande, OR
Active · expires Dec 31, 2027
CLIA Number38D0628688
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. R Patrick Mccarthy MD
Laboratory Phone(541) 663-3150
Laboratory LocationGrande Ronde Hospital Regional Medical Plaza710 Sunset Dr, La Grande, OR 97850
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1467446195. It was assigned to this organization in the NPPES registry on September 8, 2005.

Where is Grande Ronde Hospital, Inc. located?

Grande Ronde Hospital, Inc. is located at 900 Sunset Dr, La Grande, OR 97850. The listed phone number is (541) 963-1472.

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

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Grande Ronde Hospital, Inc. enrolled in Medicare?

Yes. Grande Ronde Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grande Ronde Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 25 Medicare specialties reassign their Medicare billing to Grande Ronde Hospital, Inc.. 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 Nurse Practitioner (41), Certified Registered Nurse Anesthetist (CRNA) (18) and Diagnostic Radiology (17). Of these, 23 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grande Ronde Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628688) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grande Ronde Hospital, Inc. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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 October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.