WALLA WALLA GENERAL HOSPITAL (NPI# 1780972562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780972562 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA GENERAL HOSPITAL |
| Other Organization Name | ADVENTIST HEALTH MEDICAL GROUP |
| Practice Address |
1111 S 2nd Ave Walla Walla WA 99362-4118 |
| Practice Telephone | 5095220100 |
| Practice Fax Number | 5095278010 |
| Mailing Telephone | 5095220100 |
| Mailing Fax Number | 5095278010 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | MONTY E KNITTEL (CEO) |
| Authorized Official Telephone | 5095250480 |
| Is Organization Subpart | Y |
| Parent Organization Name | 36300628 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1093362 | 05 |
| Other Name | Type Code |
|---|---|
| Adventist Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894048 | Walla Walla General Hospital | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2012-09-21 |
| 1013299965 | Walla Walla General Hospital | Pharmacy | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-09-16 |
| 1821394750 | Walla Walla General Hospital | Surgery | 1017 S 2nd Ave, Ste 1, Walla Walla, WA 99362-4183 | 2011-02-10 |
| 1992958771 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2008-10-24 |
| 1013943778 | Walla Walla General Hospital | Plastic Surgery | 1017 S 2nd Ave, Walla Walla, WA 99362-4183 | 2006-06-24 |
| 1467436030 | Walla Walla General Hospital | Medicare Defined Swing Bed Unit | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-12-06 |
| 1760466114 | Walla Walla General Hospital | Clinic/Center | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLA WALLA GENERAL HOSPITAL | 1025 S Second Avenue, Walla Walla, WA 99362 |
| Washington State Corporations | WALLA WALLA GENERAL HOSPITAL | 1 Adventist Health Way, Roseville, CA 95661-3266 |
| Street Address |
1111 S 2ND AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609533 | David P Woolever | Internal Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2005-06-20 |
| 1861034605 | Stephanie J Hayes | Registered Nurse | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2019-10-14 |
| 1861994675 | Jaime Lynn Fazzone | Pharmacist | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2018-03-07 |
| 1114378684 | Mary Buriani | Nurse Practitioner | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2016-06-27 |
| 1275943060 | Cory Mitchell | Family Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362 | 2014-05-01 |
| 1013284678 | Trudee Kaye Nims | Dietitian, Registered | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-28 |
| 1598032740 | Carmelle R Boyd | Social Worker | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-16 |
| 1013299965 | Walla Walla General Hospital | Pharmacy | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-09-16 |
| 1467743500 | Kristin Marie Satterfield | Pediatrics | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-04-24 |
| 1700182797 | Leigh Alison Moore | Pharmacist | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-02-08 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466114 | Walla Walla General Hospital | Clinic/Center | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-11-30 |
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| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| 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.