# WALLA WALLA GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760466114
- **Authorized official:** MR. RICK D BOCKMANN (CEO)
- **Authorized official phone:** (509) 525-0480

## Contact information

- **Practice address:** 1025 S 2ND AVE, WALLA WALLA, WA 99362-4116
- **Practice address phone:** (509) 525-0480
- **Practice address fax:** (509) 527-8159
- **Mailing address:** PO BOX 1398, WALLA WALLA, WA 99362-0309
- **Mailing address phone:** (509) 525-0480
- **Mailing address fax:** (509) 527-8159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | HAC.FS.00000043 | WA | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 03/30/2017