WALLA WALLA GENERAL HOSPITAL NPI 1376894048

NPI Information

NPI: 1376894048
Provider Name: WALLA WALLA GENERAL HOSPITAL

Doing Business As: ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC

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

Specialization: Multi-Specialty

Address:
336 CHARDONNAY AVE STE A
PROSSER, WA
ZIP 99350
Phone: (509) 786-2002
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WALLA WALLA GENERAL HOSPITAL is a multi-specialty clinic center in Prosser, WA. WALLA WALLA GENERAL HOSPITAL NPI is 1376894048. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Medical Group Prosser Clinic.

The provider's business location address is:

336 CHARDONNAY AVE STE A
PROSSER, WA
ZIP 99350
Phone: (509) 786-2002
Fax: (509) 786-2026

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 CLIA number assigned to this NPI record is 50D2216127 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 2/3/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		363006281	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health			No
3	261QM1300X	Clinic/Center	Multi-Specialty	363006281	WASHINGTON	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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