Wallowa County Health Care District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

14 0068 Issued in OR

Legal business name

WALLOWA COUNTY HEALTH CARE DISTRICT

Practice address

601 Medical Parkway
Enterprise, OR 97828-1167

Phone

(541) 426-3111

Fax

(541) 426-1901

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Joseph Matthew Wanner

Title

Chief Financial Officer

Phone

(541) 426-5460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wallowa Memorial Hospital-Home Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333

  Member Of

  NPD member

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1679579486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PARKWAY",
            "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": "601 MEDICAL PARKWAY",
            "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": "2005-06-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-426-5460"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "14   0068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046888",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallowa Memorial Hospital-Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Care District
• Wallowa County Health Department
• Wallowa Living Operation, LLC
• Wallowa Valley Center for Wellness
• Wallowa Valley Center for Wellness

• All providers in Enterprise, OR
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.