Provider Demographics
NPI:1134368798
Name:ST ANTHONY HOSPITAL
Entity type:Organization
Organization Name:ST ANTHONY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:1416 SE COURT AVE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3215
Mailing Address - Country:US
Mailing Address - Phone:541-278-4575
Mailing Address - Fax:541-578-4579
Practice Address - Street 1:1416 SE COURT AVE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3215
Practice Address - Country:US
Practice Address - Phone:541-278-4575
Practice Address - Fax:541-578-4579
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST ANTHONY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-05
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0400730004Medicare NSC
ORR146249Medicare PIN