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Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Other names
Wallowa Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MATTHEW WANNER (CHIEF FINANCIAL OFFICER)
(541) 426-5460
Entity
Organization
Contact information
Practice address
601 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1167
(541) 426-3111
(541) 426-1901
Mailing address
601 MEDICAL PARKWAY, ENTERPRISE, OR 97828
(541) 426-3111
(541) 426-1901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
140068
OR
261QC0050X
Critical Access Hospital Clinic/Center
Primary
14-0068
OR
Other
Enumeration date
06/27/2005
Last updated
01/31/2023
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