JMWMVA MEDICAL CENTER (NPI# 1689966095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689966095 |
| Entity Type | Organization |
| Organization Name | JMWMVA MEDICAL CENTER |
| Practice Address |
77 Wainwright Dr Walla Walla WA 99362-3975 |
| Practice Telephone | 5095255200 |
| Mailing Telephone | 5095255200 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | BRAIN WESTFIELD (DIRECTOR) |
| Authorized Official Telephone | 5095255200 |
| Is Organization Subpart | Y |
| Parent Organization Name | VA HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
WA | Ambulatory Health Care Facilities |
| Street Address |
77 WAINWRIGHT DR |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971528 | Barbara June Hetrick | Optometrist | 77 Wainwright Dr, Vamc Eye Clinic, 123, Walla Walla, WA 99362-3975 | 2005-09-07 |
| 1528671351 | Michelle Marie Hammond | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-08-31 |
| 1437776481 | Angela Maria Young | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-06-25 |
| 1689210510 | Lisa L O'dell | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-11-26 |
| 1174171425 | Kirsten Nicole Borges | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-08-29 |
| 1346800877 | Jennifer Lynn Oetman | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-06-17 |
| 1811450919 | Jeral Lee Ann Blankenship | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-04-08 |
| 1144711086 | Emily Rose Freeman | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362 | 2018-05-26 |
| 1417463209 | Ydien Barrios | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2017-12-16 |
| 1518310283 | Kerri Norris | Optometrist | 77 Wainwright Dr, Jonathan M Wainwright Memorial Vamc, Walla Walla, WA 99362-3975 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336567593 | Safe Bathtub Inc | Clinic/Center | 3047 Hedding St, Entiat, WA 98822-9713 | 2014-04-03 |
| 1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
| 1538317797 | Puget Sound Health Care System | Clinic/Center | 3205 N Shirley St, Tacoma, WA 98407-2586 | 2008-08-29 |
| 1992745723 | Walla Walla Vamc | Clinic/Center | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-06-08 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
| 1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
| 1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
| 1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
| 1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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| 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.