WALLOWA COUNTY HEALTH CARE DISTRICT NPI 1790167831

NPI Information

NPI: 1790167831
Provider Name: WALLOWA COUNTY HEALTH CARE DISTRICT

Doing Business As: WALLOWA MEMORIAL MEDICAL CLINIC - JOSEPH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
800 NORTH MAIN ST
JOSEPH, OR
ZIP 97846
Phone: (541) 432-7777
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WALLOWA COUNTY HEALTH CARE DISTRICT is a rural health clinic center in Joseph, OR. WALLOWA COUNTY HEALTH CARE DISTRICT NPI is 1790167831. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wallowa Memorial Medical Clinic - Joseph.

The provider's business location address is:

800 NORTH MAIN ST
JOSEPH, OR
ZIP 97846-451
Phone: (541) 432-7777

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

The CLIA number assigned to this NPI record is 38D0656919 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 1/31/2023.

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
1	207Q00000X	Family Medicine				No
2	282NC0060X	General Acute Care Hospital	Critical Access	140068	OREGON	No
3	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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