1508085127 NPI number — ST. ANTHONY HOSPITAL

Table of content: (NPI 1508085127)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508085127 NPI number — ST. ANTHONY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. ANTHONY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508085127
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1601 SE COURT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENDLETON
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97801-3217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-276-5121
Provider Business Mailing Address Fax Number:
541-278-3681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1514 SE COURT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97801-3216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-276-5121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Z
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
541-278-3220

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  140034 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 054598 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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