GRANDE RONDE HOSPITAL, INC
NPI 1497807812
Internal Medicine - Cardiovascular Disease in Boise, ID

Q: What is Grande Ronde Hospital, Inc's NPI number?

The NPI number for Grande Ronde Hospital, Inc is 1497807812. It was assigned to this organization in the NPPES registry on January 17, 2007.

Q: What is Grande Ronde Hospital, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since January 17, 2007

300 E JEFFERSON ST STE 101, BOISE, ID 83712(208) 336-4141(208) 336-4035 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grande Ronde Hospital, Inc NPPES

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

GRANDE RONDE HOSPITAL, INC (NPI 1497807812) is a healthcare organization registered as a cardiovascular disease in Boise, Idaho and active in the NPI registry since January 2007. The organization lists James Mattes, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1497807812

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGRANDE RONDE HOSPITAL, INC

Location Address300 E JEFFERSON ST STE 101Boise, ID 83712-6221

Mailing AddressPo Box 3290La Grande, OR 97850-7290 · (541) 963-1555 · Fax (541) 963-1845

Phone(208) 336-4141

Fax(208) 336-4035

Organization SubpartNo

Authorized OfficialJames MattesPresident Ceo · (541) 963-1454

Enumeration DateJanuary 17, 2007

Last NPPES UpdateApril 7, 2011

✔ NPI 1497807812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OR · 14-0728

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

300 E JEFFERSON ST STE 101, Boise, ID 83712

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Other Identifiers 1

Medicare ID-Type Unspecified1368978ID · Cigna Medicare-echos

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. DAVID JOSEPH COYLE M.D.

Internal Medicine (Interventional Cardiology)