Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Other names
Wallowa Memorial Hospital-Swingbed
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 97828-1167
(541) 426-3111
(541) 426-1901
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
14 0068
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214205
—
OR
Enumeration date
06/24/2005
Last updated
07/01/2015
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