NPIMap

Organization Active NPI

Walla Walla General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Walla Walla, WA
National Provider Identifier
1467436030
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000091 Issued in WA
Legal business name
WALLA WALLA GENERAL HOSPITAL
Practice address
1025 S 2ND Ave
Walla Walla, WA 99362-4116
Phone
(509) 525-0480
Fax
(509) 527-8195
NPI assigned
Dec 6, 2005
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mr. Monty E Knittel
Title
Ceo
Phone
(509) 525-0480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000091 WA Primary

Addresses

Primary practice location

1025 S 2ND Ave
Walla Walla, WA 99362-4116

Mailing address

1025 S 2ND Ave
PO Box 1398
Walla Walla, WA 99362-4116
Phone (509) 525-0480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1467436030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "address_2": "PO BOX 1398",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "509-525-0480",
            "fax_number": "509-527-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "509-525-0480",
            "fax_number": "509-527-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "KNITTEL",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-525-0480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WA",
            "license": "000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.