Provider Demographics
NPI:1568562866
Name:ST ANTHONY HOSPITAL
Entity Type:Organization
Organization Name:ST ANTHONY HOSPITAL
Other - Org Name:ST ANTHONY SWING BED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-278-3222
Mailing Address - Street 1:2801 ST ANTHONY WAY
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3800
Mailing Address - Country:US
Mailing Address - Phone:541-276-5121
Mailing Address - Fax:541-278-6564
Practice Address - Street 1:2801 ST ANTHONY WAY
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3800
Practice Address - Country:US
Practice Address - Phone:541-276-5121
Practice Address - Fax:541-278-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-0034282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR38Z319Medicare Oscar/Certification