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WALLOWA COUNTY HEALTH CARE DISTRICT NPI 1679579486


NPI Information

NPI: 1679579486
Provider Name: WALLOWA COUNTY HEALTH CARE DISTRICT

Doing Business As: WALLOWA MEMORIAL HOSPITAL-HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
601 MEDICAL PARKWAY
ENTERPRISE, OR
ZIP 97828
Phone: (541) 426-3111
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WALLOWA COUNTY HEALTH CARE DISTRICT is a home health in Enterprise, OR. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. WALLOWA COUNTY HEALTH CARE DISTRICT NPI is 1679579486. The provider is registered as an organization entity type.
The provider Is Doing Business As Wallowa Memorial Hospital-home Health.

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 6/27/2005 and was last updated on 9/27/2013.


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
1251E00000XHome Health14 0068OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1387089MEDICARE ID-TYPE UNSPECIFIEDOREGON
2046888MEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.