Active NPI
County of Walla Walla
- Prison Health Clinic/Center
- Walla Walla, WA
National Provider Identifier
1932064821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- COUNTY OF WALLA WALLA
- Practice address
- 455 W Rose St
Walla Walla, WA 99362-1792 - Phone
- (509) 524-2822
- NPI assigned
- Dec 22, 2025
- Last updated
- Dec 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Wenzel
- Title
- Director
- Phone
- (509) 524-2660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Primary |
Addresses
Primary practice location
455 W Rose St
Walla Walla, WA 99362-1792
Mailing address
455 W Rose St
Walla Walla, WA 99362-1792
Phone (509) 524-2822
Other names 1
- JJC
National Provider Directory
National Provider Directory- Tax ID family
- County of Walla Walla
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Walla Walla, WA
- NPI 1528913167
Locations
455 W Rose St
Walla Walla, WA 99362
Phone (509) 524-2822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1932064821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 W ROSE ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621792",
"telephone_number": "509-524-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W ROSE ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621792",
"telephone_number": "509-524-2822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WALLA WALLA",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "WENZEL",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "509-524-2660"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JJC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Walla Walla, WA
- Marissa Lynn Cosaert
- Counseling Services of Walla Walla
- County of Walla Walla
- County of Walla Walla (County Jail)
- County of Walla Walla
- Jennie L. Courtney, R.N.
- Victor A Covarrubias Rivera
- Hope Cox, BA
- CP St. Mary Wa HH, LLC (Providence at Home with Compassus Home Health, Walla Walla)
- Gary McClendon Crabtree, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.