WALLOWA COUNTY HEALTH CARE DISTRICT NPI 1164428066

NPI Information

WALLOWA COUNTY HEALTH CARE DISTRICT is a medicare defined swing bed unit in Enterprise, OR. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. WALLOWA COUNTY HEALTH CARE DISTRICT NPI is 1164428066. The provider is registered as an organization entity type.
The provider Is Doing Business As Wallowa Memorial Hospital-swingbed.

The provider's business location address is:

601 MEDICAL PARKWAY
ENTERPRISE, OR
ZIP 97828-167
Phone: (541) 426-3111
Fax: (541) 426-1901

The provider's authorized official is Joseph Matthew Wanner .
The authorized official title is Chief Financial Officer and has the following contact phone number (541) 426-5460.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 7/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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