NPIMap

Organization Active NPI

Walla Walla General Hospital

Doing business as Adventist Health Surgical Specialists

  • Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1821394750
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WALLA WALLA GENERAL HOSPITAL
Doing business as
Adventist Health Surgical Specialists
Practice address
1017 S 2ND Ave
Ste 1
Walla Walla, WA 99362-4183
Phone
(509) 525-4900
Fax
(509) 522-3886
NPI assigned
Feb 10, 2011
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WALLA WALLA GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Mr. Rick D Bockmann
Title
Ceo
Phone
(509) 527-8000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU
Plastic Surgery Physician 208200000X NU
Surgery Physician 208600000X NU
Surgery of the Hand (Surgery) Physician 2086S0105X NU

Addresses

Primary practice location

1017 S 2ND Ave
Ste 1
Walla Walla, WA 99362-4183

Mailing address

PO Box 1398
Walla Walla, WA 99362-0309
Phone (509) 525-4900

Other identifiers 1

IdentifierTypeStateIssuer
2011603MedicaidWA

Other names 1

  • Adventist Health Surgical Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Family Practice Associa

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1821394750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1398",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620309",
            "telephone_number": "509-525-4900",
            "fax_number": "509-522-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S 2ND AVE",
            "address_2": "STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624183",
            "telephone_number": "509-525-4900",
            "fax_number": "509-522-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALLA WALLA GENERAL HOSPITAL",
        "enumeration_date": "2011-02-10",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "BOCKMANN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-527-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2017; 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.