OrganizationActive
Grande Ronde Hospital, Inc
NPI 1497807812 · Cardiovascular Disease Physician · Boise, ID
Provider details
- NPI number
- 1497807812
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Mattes, President Ceo(541) 963-1454
- License
- 14-0728 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 E Jefferson St Ste 101
Boise, ID 83712-6221
Phone: (208) 336-4141
Fax: (208) 336-4035
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3290
La Grande, OR 97850-7290
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2011-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.