Healthcare Provider Details

I. General information

NPI: 1285742338
Provider Name (Legal Business Name): HARNEY DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 W WASHINGTON ST
BURNS OR
97720-1441
US

IV. Provider business mailing address

557 W WASHINGTON ST
BURNS OR
97720-1441
US

V. Phone/Fax

Practice location:
  • Phone: 541-573-7281
  • Fax: 541-573-8627
Mailing address:
  • Phone: 541-573-7281
  • Fax: 541-573-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number14 0704
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ROBERT D GOMES
Title or Position: CEO
Credential:
Phone: 541-573-7281