WALLA WALLA CLINIC INC. NPI 1760568273

NPI Information

  • NPI: 1760568273
  • Provider Name: WALLA WALLA CLINIC, INC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: WALLA WALLA CLINIC AMBULATORY SURGERY CENTER
  • Address: 55 W TIETAN ST
    WALLA WALLA, WA
    ZIP 99362
  • Phone: (509) 525-3720

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NPI Details

WALLA WALLA CLINIC, INC. is an ambulatory surgical clinic center in Walla Walla, WA. WALLA WALLA CLINIC, INC. NPI is 1760568273. The provider is registered as an organization entity type.
The provider Is Doing Business As Walla Walla Clinic Ambulatory Surgery Center.

The provider's business location address is:

55 W TIETAN ST
WALLA WALLA, WA
ZIP 99362-445
Phone: (509) 525-3720
Fax: (509) 522-1593

The provider's authorized official is Kevin J Michelson .
The authorized official title is Ceo and has the following contact phone number (509) 525-3720.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/23/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalFX00058422WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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