Organization · Type 2 NPI

Providence Health & Services Oregon

Medicare Defined Swing Bed Hospital Unit · Hood River, OR

NPI number 1164595773 Active

Practice location

810 12th St
Hood River, OR 97031-1587

Call (503) 215-4323 Map

Fax (503) 215-0297

Mailing address

PO Box 31001-4199
Pasadena, CA 91110-4199

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	None listed

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

23 other providers at this address

NPI record

NPI: 1164595773
Entity type: Organization (Type 2)
Issued: Nov 15, 2006
Last updated: May 15, 2025
Status: Active
Subpart: Yes of Providence Health & Services Oregon

Other names

<unavail>
Providence Hood River Memorial Hospital · doing business as
Providence Hood River Memorial Hospital · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164595773

Providence Health & Services Oregon's National Provider Identifier is 1164595773, issued on Nov 15, 2006. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Hood River, OR. The record was last updated on May 15, 2025.