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 97828-5124
(541) 426-3111
(541) 426-4095
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
14 0068
OR
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214205
—
OR
Enumeration date
06/17/2005
Last updated
02/28/2023
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