Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grande Ronde Hospital, Inc

Organization Cardiovascular Disease Physician · NPI 1497807812

Grande Ronde Hospital, Inc provides Cardiovascular Disease Physician services in Boise, Idaho. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 E Jefferson St Ste 101
Boise, ID 83712-6221 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 336-4141
Fax: (208) 336-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 14-0728 (OR)

Record details

NPI number1497807812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mattes — President Ceo · (541) 963-1454
NPI enumeratedJanuary 17, 2007
Last updated in NPPESApril 7, 2011
Mailing addressPo Box 3290, La Grande, OR 97850-7290

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