Walla Walla Senior Citizens Center Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

600120674 Issued in WA

Legal business name

WALLA WALLA SENIOR CITIZENS CENTER INC

Practice address

720 Sprague St
Walla Walla, WA 99362-3953

Phone

(509) 527-3775

Fax

(509) 527-3776

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Howard Ostby

Title

Executive Director

Phone

(509) 527-3775

Specialties & licenses 1

Addresses

Other names 1

• The Center at the Park Doing business as

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1144640772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SPRAGUE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623953",
            "telephone_number": "509-527-3775",
            "fax_number": "509-527-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SPRAGUE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623953",
            "telephone_number": "509-527-3775",
            "fax_number": "509-527-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA SENIOR CITIZENS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "OSTBY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-527-3775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "600120674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center at the Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walla Walla Oms, LLC
• Walla Walla Orthodontics
• Walla Walla Pediatric Dentistry
• Walla Walla Physical Therapy Center Aps
• Walla Walla Public Schools
• Walla Walla Therapy LLC
• Walla Walla Vamc
• Walla Walla Vamc
• Cynthia Wallace, LICSW
• Yajaira Waltermire, SUDPT

• Voluntary or Charitable Agency in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Voluntary or Charitable Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.