WALLOWA COUNTY HEALTH CARE DISTRICT (NPI# 1922004738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922004738 |
| Entity Type | Organization |
| Organization Name | WALLOWA COUNTY HEALTH CARE DISTRICT |
| Other Organization Name | WALLOWA MEMORIAL HOSPITAL-HOSPICE |
| Practice Address |
403 Ne 1st St Enterprise OR 97828-1167 |
| Mailing Address |
401 Ne 1st St Enterprise OR 97828-1167 |
| Practice Telephone | 5414263111 |
| Practice Fax Number | 5414264095 |
| Mailing Telephone | 5414263111 |
| Mailing Fax Number | 5414264095 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY S DAVY (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 5414265300 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 14 0068 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 237040 | 05 |
| Other Name | Type Code |
|---|---|
| Wallowa Memorial Hospital-Hospice | 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 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
| 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 |
403 NE 1ST ST |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1167 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215193073 | Flint River Hospice, Inc. | Hospice Care, Community Based | 1253 Rucker Blvd, Suite D, Enterprise, AL 36330-3677 | 2008-07-31 |
| 1144381179 | Dayspring Hospice, LLC | Hospice Care, Community Based | 201 W Lee St, Enterprise, AL 36330-2424 | 2006-12-13 |
| 1275572067 | Southern Care Inc | Hospice Care, Community Based | 5 N Pointe Pkwy, Ste D & E, Enterprise, AL 36330-1384 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
| 1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
| 1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
| 1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
| 1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
| 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.