NPIMap

Organization Active NPI

Wallowa County Health Department

  • Public Health or Welfare Agency
  • Enterprise, OR
National Provider Identifier
1093877185
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WALLOWA COUNTY HEALTH DEPARTMENT
Practice address
758 NW 1St St
Enterprise, OR 97828-1527
Phone
(541) 426-4848
Fax
(541) 426-3627
NPI assigned
Dec 14, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laina Fisher
Title
Administrator
Phone
(541) 426-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

758 NW 1St St
Enterprise, OR 97828-1527

Mailing address

758 NW 1St St
Enterprise, OR 97828-1527
Phone (541) 426-4848

Other identifiers 1

IdentifierTypeStateIssuer
000851MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1093877185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 NW 1ST ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281527",
            "telephone_number": "541-426-4848",
            "fax_number": "541-426-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 NW 1ST ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281527",
            "telephone_number": "541-426-4848",
            "fax_number": "541-426-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LAINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-426-4848"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000851",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.