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WALLA WALLA GENERAL HOSPITAL NPI 1780972562


NPI Information

NPI: 1780972562
Provider Name: WALLA WALLA GENERAL HOSPITAL

Doing Business As: ADVENTIST HEALTH MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1111 S 2ND AVE
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-0100
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WALLA WALLA GENERAL HOSPITAL is a multi-specialty clinic center in Walla Walla, WA. WALLA WALLA GENERAL HOSPITAL NPI is 1780972562. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Medical Group.

The provider's business location address is:

1111 S 2ND AVE
WALLA WALLA, WA
ZIP 99362-118
Phone: (509) 522-0100
Fax: (509) 527-8010

The provider's authorized official is Monty E Knittel .
The authorized official title is Ceo and has the following contact phone number (509) 525-0480.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11093362MEDICAIDWASHINGTON
28884788MEDICARE PINWASHINGTON

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: 4/28/2024

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