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Organization

WALLOWA COUNTY HEALTH CARE DISTRICT

Active
Other names
Wallowa Memorial Hospital-Home Health
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 97828-1167
(541) 426-3111
(541) 426-1901

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
14 0068
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046888
OR
Enumeration date
06/27/2005
Last updated
09/27/2013
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