Organization Active NPI

Wallowa County Health Care District

  • Nursing Facility/Intermediate Care Facility
  • Enterprise, OR
National Provider Identifier
1255310371
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WALLOWA COUNTY HEALTH CARE DISTRICT
Practice address
207 E Park Street
Enterprise, OR 97828-1167
Phone
(541) 426-3111
Fax
(541) 426-1901
NPI assigned
Jan 17, 2006
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Lexi M Fields
Title
Chief Financial Officer
Phone
(541) 426-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OR Primary

Addresses

Primary practice location

207 E Park Street
Enterprise, OR 97828-1167

Mailing address

207 E Park Street
Enterprise, OR 97828-1167
Phone (541) 426-3111

Other names 1

  • Wallowa Valley Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Wallowa Memorial Hospit8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 NE Park St
Enterprise, OR 97828
Phone (541) 426-3111

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1255310371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E PARK STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281167",
            "telephone_number": "541-426-3111",
            "fax_number": "541-426-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E PARK STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281167",
            "telephone_number": "541-426-3111",
            "fax_number": "541-426-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA COUNTY HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "LEXI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-426-5460"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallowa Valley Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 31, 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.