Organization
WALLA WALLA GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK D BOCKMANN (CEO)
(509) 525-0480
Entity
Organization
Contact information
Practice address
1025 S 2ND AVE, WALLA WALLA, WA 99362-4116
(509) 525-0480
(509) 527-8159
Mailing address
PO BOX 1398, WALLA WALLA, WA 99362-0309
(509) 525-0480
(509) 527-8159
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
HAC.FS.00000043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018337
—
WA
05
—
208850
—
OR
Enumeration date
11/30/2005
Last updated
03/30/2017
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