WALLOWA COUNTY HEALTH CARE DISTRICT (NPI# 1558366229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366229 |
| Entity Type | Organization |
| Organization Name | WALLOWA COUNTY HEALTH CARE DISTRICT |
| Other Organization Name | WALLOWA MEMORIAL HOSPITAL |
| Practice Address |
601 Medical Parkway Enterprise OR 97828-1167 |
| Mailing Address |
601 Medical Parkway Enterprise OR 97828-5124 |
| Practice Telephone | 5414263111 |
| Practice Fax Number | 5414261901 |
| Mailing Telephone | 5414263111 |
| Mailing Fax Number | 5414264095 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | JOSEPH MATTHEW WANNER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5414265460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
14 0068 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 214205 | 05 |
| Other Name | Type Code |
|---|---|
| Wallowa Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1255310371 | Wallowa County Health Care District | Nursing Facility/Intermediate Care Facility | 207 E Park Street, Enterprise, OR 97828-1167 | 2006-01-17 |
| 1922004738 | Wallowa County Health Care District | Hospice Care, Community Based | 403 Ne 1st St, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1528442837 | Wallowa County Health Care District | General Acute Care Hospital | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-07-16 |
| 1790167831 | Wallowa County Health Care District | General Acute Care Hospital | 100 N East St, Joseph, OR 97846-8451 | 2015-06-25 |
| 1447256250 | Wallowa County Health Care District | Clinic/Center | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1679579486 | Wallowa County Health Care District | Home Health | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1164428066 | Wallowa County Health Care District | Medicare Defined Swing Bed Unit | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-24 |
| Street Address |
601 MEDICAL PARKWAY |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256250 | Wallowa County Health Care District | Clinic/Center | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1679579486 | Wallowa County Health Care District | Home Health | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1164428066 | Wallowa County Health Care District | Medicare Defined Swing Bed Unit | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442837 | Wallowa County Health Care District | General Acute Care Hospital | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on WALLOWA COUNTY HEALTH CARE DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.