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Export Provider Record NPI 1164595773
Providence Health & Services Oregon
Organization Subpart: YES
Active
NPI Number1164595773
NPI TypeNPI-2 Organization
SpecialtyMedicare Defined Swing Bed Unit
Provider Details
NPI1164595773
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-11-15
Last Updated2025-05-15
Authorized OfficialDonald Anderson
ASSISTANT SECRETARY ENROLLMENTS
Phone: 4253589786
Mailing AddressPo Box 31001-4199
Pasadena, CA 91110-4199
United States
Phone: (503) 215-4323 | Fax: (503) 215-0297
📍 View Map
Primary Practice Address810 12th St
Hood River, OR 97031-1587
United States
Phone: (503) 215-4323 | Fax: (503) 215-0297
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)OR103472Part B Medicare PTAN
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes275N00000X – Medicare Defined Swing Bed Unit
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About NPI 1164595773

Providence Health & Services Oregon is an organization registered in the CMS NPPES NPI Registry with NPI number 1164595773. The primary specialty listed is Medicare Defined Swing Bed Unit. The organization is located in Hood River, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164595773?

NPI 1164595773 belongs to Providence Health & Services Oregon, a Medicare Defined Swing Bed Unit in Hood River, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164595773 active?

The current status of NPI 1164595773 in the NPPES registry is Active. The record was last updated on 2025-05-15.

What specialty is NPI 1164595773?

NPI 1164595773 is classified under the taxonomy Medicare Defined Swing Bed Unit. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164595773?

You can verify NPI 1164595773 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164595773?

The primary practice address on file for NPI 1164595773 is 810 12th St, Hood River, OR 97031-1587. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164595773 issued?

NPI 1164595773 was first issued (enumerated) on 2006-11-15. The NPPES record was last updated on 2025-05-15.

Practice Location Map

Providence Health & Services Oregon is located at 810 12th St, Hood River, OR. Use the map below to find directions or verify the practice location.

📍 810 12th St, Hood River, OR 97031-1587  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Providence Health & Services Oregon. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-08 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162