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NPI 1194194902
● Active Type 2 · Organization
Grande Ronde Hospital, Inc
Family Medicine · Caldwell, ID · NPI 1194194902
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Enumerated 2015 · 10 years on NPI
Grande Ronde Hospital, Inc is 1 of 6 family medicine organizations in Idaho.
NPI age
10 years
Enumerated 2015-09-22
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mattes
President/ceo
Last NPPES update
2015-09-22
Source: monthly bulk 2026-05
How this organization compares
Across 6 active family medicine providers in Idaho.
NPI age
10 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2015 → 2026
2015-09 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1717 Arlington Ave
Caldwell, ID 836054802
📞 2083674817
Mailing address
Po Box 3290
La Grande, OR 978507290
📞 5419638421 fax 5419631845
Authorized official
James A Mattes
President/ceo
📞 5419631842
Individual providers at this organization
20 individual providers on file at this primary practice address.
Harsh Vardhan Agrawal , MD
Internal Medicine
NPI 1760663900
Richard Augustus , MD
Family Medicine
NPI 1699717793
Brett Bemis
Physician Assistant
NPI 1528429172
Daniel Bonilla , CRNA
Nurse Anesthetist, Certified Registered
NPI 1386408730
Derek Bronson
Physician Assistant
NPI 1962932343
Gavin Bruderer , CRNA, MSNA
Nurse Anesthetist, Certified Registered
NPI 1427730910
David Calley , PHARM D
Pharmacist
NPI 1578103180
Caleb Celuch , RN
Registered Nurse
NPI 1639884935
Joseph Eastman , M.D.
Pathology
NPI 1396772273
Larry Edgerton , CRNA
Nurse Anesthetist, Certified Registered
NPI 1215082599
Sarina Folwell , RN
Registered Nurse
NPI 1609357003
Brandon Guthrie , PHARMD
Pharmacist
NPI 1316677180
Wesley Harding
Pharmacy
NPI 1508708215
Travis Henderson , CRNA
Nurse Anesthetist, Certified Registered
NPI 1093258386
Holly Hillier , PHARMD
Pharmacist
NPI 1588519417
Nathanael Hogg , D.O
Internal Medicine
NPI 1225420250
Jaime Holcomb , R.D. L.D.
Dietitian, Registered
NPI 1932330966
Nathan Holmes , DO
Internal Medicine
NPI 1396151148
Randy James , M.D.
Radiology
NPI 1447287263
Rikki Koberlein , RN
Registered Nurse
NPI 1427871201
Specialties
Family Medicine
Primary
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian...
taxonomy 207QS1201X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.