Provider Demographics
NPI:1285742338
Name:HARNEY DISTRICT HOSPITAL
Entity type:Organization
Organization Name:HARNEY DISTRICT HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-573-7281
Mailing Address - Street 1:557 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:OR
Mailing Address - Zip Code:97720-1441
Mailing Address - Country:US
Mailing Address - Phone:541-573-7281
Mailing Address - Fax:541-573-8627
Practice Address - Street 1:557 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:OR
Practice Address - Zip Code:97720-1441
Practice Address - Country:US
Practice Address - Phone:541-573-7281
Practice Address - Fax:541-573-8627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14 0704282NC0060X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR800594Medicaid
MO903353Medicaid
OR026053Medicaid
OR092502Medicaid
AZ934069Medicaid
CO95017075Medicaid
ALGA557ORMedicaid
ALHS003OPMedicaid
NC3780020947Medicaid
MT419900Medicaid
AZ190265Medicaid
OR226328Medicaid
FL903049200Medicaid
ALHS003IPMedicaid
ID003430200Medicaid
KSHA312906Medicaid
CAXHSP30724Medicaid
CAXHSP40724Medicaid