# WALLOWA COUNTY HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wallowa Memorial Hospital-Swingbed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164428066
- **Authorized official:** JOSEPH MATTHEW WANNER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (541) 426-5460

## Contact information

- **Practice address:** 601 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1167
- **Practice address phone:** (541) 426-3111
- **Practice address fax:** (541) 426-1901
- **Mailing address:** 601 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1167
- **Mailing address phone:** (541) 426-3111
- **Mailing address fax:** (541) 426-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 14 0068 | OR | Yes |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 07/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 214205 | — | OR |