Wallowa Valley Center for Wellness

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

WALLOWA VALLEY CENTER FOR WELLNESS

Practice address

301 W Main St
Enterprise, OR 97828-1245

Phone

(541) 426-0801

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Jewel McMillan

Title

Case Manager

Phone

(541) 426-0801

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1467006668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978280268",
            "telephone_number": "541-426-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281245",
            "telephone_number": "541-426-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA VALLEY CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "541-426-0801"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallowa County Health Care District
• Wallowa County Health Department
• Wallowa Living Operation, LLC
• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness
• Wallowa Valley Chiropractic Inc.
• Wallowa Valley Eye Care, Inc.
• Aidan Thomas Wandschneider
• Judith A. Wandschneider, LCSW

• Case Manager/Care Coordinator in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.