Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Parent organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Other names
Wallowa Memorial Medical Clinic - Downtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALLOWA COUNTY HEALTH CARE DISTRICT
Authorized official
JOSEPH WANNER (CFO)
(541) 426-5460
Entity
Organization
Contact information
Practice address
306 W NORTH ST, ENTERPRISE, OR 97828-1041
(541) 426-7900
Mailing address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
01/31/2023
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