Grande Ronde Hospital Union Clinic | |
142 E Dearborn Union OR 97883 | |
(541) 963-1555 | |
(541) 963-1845 |
Full Name | Grande Ronde Hospital Union Clinic |
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Speciality | Clinic/Center |
Location | 142 E Dearborn, Union, Oregon |
Authorized Official Name and Position | James A Mattes (PRESIDENT/CEO) |
Authorized Official Contact | 5419631464 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grande Ronde Hospital Union Clinic Po Box 3290 La Grande OR 97850-7290 Ph: (541) 963-1555 | Grande Ronde Hospital Union Clinic 142 E Dearborn Union OR 97883 Ph: (541) 963-1555 |
NPI Number | 1780068080 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 11/21/2016 |
Medicare PECOS PAC ID | 0547170789 |
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Medicare Enrollment ID | O20150909002653 |
Identifier | Type | State | Issuer |
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1780068080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Union Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 142 E. Dearborn, Union, OR 97883 Phone: 541-562-2222 Fax: 541-562-2224 | |
Grande Ronde Hospital Union Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 E Dearborn St, Union, OR 97883 Phone: 541-963-1555 Fax: 541-963-1845 |