Provider Demographics
NPI:1558498279
Name:ASANTE
Entity Type:Organization
Organization Name:ASANTE
Other - Org Name:ASANTE ROGUE REGIONAL MEDICAL CENTER HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-789-5098
Mailing Address - Street 1:209 N. PACIFIC HWY.
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-9634
Mailing Address - Country:US
Mailing Address - Phone:541-789-5005
Mailing Address - Fax:541-789-5239
Practice Address - Street 1:209 N. PACIFIC HWY.
Practice Address - Street 2:
Practice Address - City:TALENT
Practice Address - State:OR
Practice Address - Zip Code:97540-9634
Practice Address - Country:US
Practice Address - Phone:541-789-5005
Practice Address - Fax:541-789-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR131875Medicaid
OR013763Medicaid
OR381527Medicare ID - Type Unspecified