NPIMap

Organization Active NPI

Wallowa County Esd

  • Local Education Agency (LEA)
  • Enterprise, OR
National Provider Identifier
1285663997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WALLOWA COUNTY ESD
Practice address
107 SW 1St St Ste 105
Enterprise, OR 97828-1285
Phone
(541) 426-4997
Fax
(514) 426-3732
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward Jensen
Title
Superintendent
Phone
(541) 426-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

107 SW 1St St Ste 105
Enterprise, OR 97828-1285

Mailing address

107 SW 1St St Ste 105
Enterprise, OR 97828-1285
Phone (541) 426-4997

Other identifiers 1

IdentifierTypeStateIssuer
127881MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285663997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SW 1ST ST STE 105",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281285",
            "telephone_number": "541-426-4997",
            "fax_number": "514-426-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW 1ST ST STE 105",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281285",
            "telephone_number": "541-426-4997",
            "fax_number": "514-426-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA COUNTY ESD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "541-426-4997"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127881",
            "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 Aug 22, 2020; 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.