NPI age
19 years
Enumerated 2007-01-17
● Active Type 2 · Organization
Grande Ronde Hospital, Inc
Grande Ronde Hospital, Inc is 1 of 100 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mattes
President Ceo
Last NPPES update
2011-04-07
Source: monthly bulk 2026-05
How this organization compares
Across 100 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
300 E Jefferson St Ste 101
Boise, ID 837126221
Mailing address
Po Box 3290
La Grande, OR 978507290
Authorized official
James Mattes
President Ceo
📞 5419631454
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Jennifer Anderson, MD Internal Medicine NPI 1093825903
- Troy Badger, MD Internal Medicine NPI 1831335660
- Robyn Bryde, MD Internal Medicine NPI 1730512369
- David Coyle, M.D. Internal Medicine NPI 1023210515
- Athena Evans-Campbell Registered Nurse NPI 1841782083
- Lydia Moor, CNP Nurse Practitioner NPI 1588256846
- Sean Smart, DNP Nurse Practitioner NPI 1295189264
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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