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Organization

DEPARTMENT OF VETERAN'S AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES BELENY (CHIEF OF STAFF)
(509) 525-5200
Entity
Organization

Contact information

Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
LW60058779
WA

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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