Organization
WALLA WALLA GENERAL HOSPITAL
Active
Parent organization
WALLA WALLA GENERAL HOSPITAL
Other names
Adventist Health Medical Group Prosser Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALLA WALLA GENERAL HOSPITAL
Authorized official
MONTY E KNITTEL (CEO)
(509) 525-0480
Entity
Organization
Contact information
Practice address
336 CHARDONNAY AVE STE A, PROSSER, WA 99350
(509) 786-2002
(509) 786-2026
Mailing address
PO BOX 1398, WALLA WALLA, WA 99362-0309
(509) 522-0100
(509) 527-8010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
363006281
WA
261QM1300X
Multi-Specialty Clinic/Center
Primary
363006281
WA
261QR1300X
Rural Health Clinic/Center
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Other
Enumeration date
09/21/2012
Last updated
02/03/2015
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