Organization Active NPI

Jmwmva Medical Center

  • VA Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1689966095
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
JMWMVA MEDICAL CENTER
Practice address
77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone
(509) 525-5200
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
VA HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Brain Westfield
Title
Director
Phone
(509) 525-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X WA Primary

Addresses

Primary practice location

77 Wainwright Dr
Walla Walla, WA 99362-3975

Mailing address

77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone (509) 525-5200

National Provider Directory

National Provider Directory
Tax ID family
Dept of Veteran Affairs11 organizations share this tax ID, including this one
Part of
Dept of Veteran Affairs

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77 Wainwright Dr
Walla Walla, WA 99362

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1689966095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMWMVA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VA HEALTH CARE",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "WESTFIELD",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-525-5200"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "WA",
            "license": null,
            "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 May 4, 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.