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General NPI Number Information
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NPI Number | 1972113306
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Entity Type | Organization
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Legal Business Name | HARNEY DISTRICT HOSPITAL
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 271 N EGAN AVE
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City | BURNS
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State | OR
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Zip | 97720-1733
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Country | US
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Telephone | 541-573-7281
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Fax |
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Provider Business Mailing Address
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Address Line | 557 W WASHINGTON ST
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City | BURNS
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State | OR
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Zip | 97720-1441
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Country | US
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Telephone | 541-573-4099
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Fax | 541-573-8621
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Authorized Official
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Title or Position | CEO
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Name | ROBERT D GOMES
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Credential |
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Telephone | 541-573-7281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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