Provider Demographics
NPI:1902037526
Name:ST ANTHONY HOSPITAL
Entity Type:Organization
Organization Name:ST ANTHONY HOSPITAL
Other - Org Name:ST ANTHONY WOMEN'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLENKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-278-3220
Mailing Address - Street 1:1601 SE COURT AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3217
Mailing Address - Country:US
Mailing Address - Phone:541-278-3220
Mailing Address - Fax:
Practice Address - Street 1:1601 SE COURT AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3217
Practice Address - Country:US
Practice Address - Phone:541-278-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST ANTHONY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty