Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Other names
Wallowa Memorial Hospital
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
(541) 426-3111
(541) 426-1901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
140068
OR
261QC0050X
Critical Access Hospital Clinic/Center
Primary
14-0068
OR
Other
Enumeration date
06/27/2005
Last updated
01/31/2023
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