OrganizationActive
Grande Ronde Hospital, Inc.
NPI 1174553929 · Primary Care Clinic/Center · La Grande, OR
Provider details
- NPI number
- 1174553929
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Davis, President/Ceo(541) 963-8421
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
506 4th St
La Grande, OR 97850-1906
Phone: (541) 963-3138
Fax: (541) 963-5918
Street-level locationGet directions
Mailing address
Po Box 460
La Grande, OR 97850-0460
Other names (DBA / former)
- Doing business as
- Grande Ronde Hospital Internal Medicine Clinic
- Doing business as
- Grande Ronde Hospital Regional Medical Clinic
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.