Organization
WALLA WALLA GENERAL HOSPITAL
Active
Organization
WALLA WALLA GENERAL HOSPITAL
Active
Parent organization
36300628
Other names
Adventist Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
36300628
Authorized official
MONTY E KNITTEL (CEO)
(509) 525-0480
Entity
Organization
Contact information
Practice address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 522-0100
(509) 527-8010
Mailing address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 522-0100
(509) 527-8010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093362
—
WA
Enumeration date
07/14/2011
Last updated
07/14/2011
Update your record
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