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
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