Walla Walla General Hospital
Organization Active NPI Multi-Specialty Clinic/Center · Prosser, WA
NPI 1376894048 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1376894048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 363006281 (WA)
- Legal business name
- WALLA WALLA GENERAL HOSPITAL
- Practice address
- 336 Chardonnay Ave Ste a
Prosser, WA 99350 - Phone
- (509) 786-2002
- Fax
- (509) 786-2026
- NPI assigned
- Sep 21, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- WALLA WALLA GENERAL HOSPITAL
Authorized official
- Name
- Monty E Knittel
- Title
- Ceo
- Phone
- (509) 525-0480
Practitioners 26
-
Donald K Ashley, MD
-
Kathryn Jane Austin, CNM
-
Carl Leroy Bauer, M.D.
-
Carmelle R Boyd, MSW
-
Ellen Dewine Collette, A.R.N.P.
-
Elwyn Andres Garaza, M.D.
-
Mary Lynn Grizzell, LMP
-
Maryam Jamshidi, MD
-
Ernest Oji Kanu, M.D.
-
James C Mason, M.D.
-
Nicole Marie McAllister, ARNP
-
Wanda Jean Nelson, N.P.
-
Douglas E Newton, MD
-
Laura Ann Norris, ARNP
-
Albert Rick, M.D.
-
Thomas Aaron Shaver, PA-C
-
Jean L Sherman, ARNP
-
David P Woolever, MD
-
Kamaljit K Atwal, DO
-
Olga Lucia Ochoa Reina, M.D.
-
Debra Shinkle, MD
National Provider Directory
- Part of
- Walla Walla General Hospi
Locations
336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 363006281 | WA | |
| Multi-Specialty Clinic/Center | 261QM1300X | 363006281 | WA | Yes |
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
336 Chardonnay Ave Ste a
Prosser, WA 99350
Mailing address
PO Box 1398
Walla Walla, WA 99362-0309
Phone (509) 522-0100
Other names
- Adventist Health Medical Group Prosser Clinic
Other providers in Prosser, WA
- Kora Udell
- Richard J Unger
- Yolanda Vargas
- Heidi Vasquez
- Debra Wagner
- Jesse Cole Wealing
- Heidi S Weaver
- Robert J Weber
- Emma Weis
- Cortney Jean White
All providers in Prosser, WA · Multi-Specialty Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.