WALLOWA VALLEY CENTER FOR WELLNESS (NPI# 1093952996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093952996 |
| Entity Type | Organization |
| Organization Name | WALLOWA VALLEY CENTER FOR WELLNESS |
| Practice Address |
207 Sw 1st St Enterprise OR 97828-1203 |
| Mailing Address |
Po Box 268 Enterprise OR 97828-0268 |
| Practice Telephone | 5414264524 |
| Practice Fax Number | 5414263035 |
| Mailing Telephone | 5414264524 |
| Mailing Fax Number | 5414263035 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | STEPHEN P KLIEWER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5414264524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 210511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172663 | Wallowa Valley Center for Wellness | Community Based Residential Treatment Facility, Mental Illness | 301 E.seventh Street, Joseph, OR 97846 | 2008-12-12 |
| 1417192972 | Wallowa Valley Center for Wellness | Community Based Residential Treatment Facility, Mental Illness | 601 Whiskey Creek Rd, Wallowa, OR 97885-7129 | 2008-12-11 |
| 1043249907 | Wallowa Valley Center for Wellness | Clinic/Center | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2006-07-02 |
| 1467006668 | Wallowa Valley Center for Wellness | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2019-07-26 |
| 1558817528 | Wallowa Valley Center for Wellness | Community/Behavioral Health | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2016-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLOWA VALLEY CENTER FOR WELLNESS | 103 Hwy 82 Ste D, Enterprise, OR 97828 |
| Street Address |
207 SW 1ST ST |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043249907 | Wallowa Valley Center for Wellness | Clinic/Center | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2006-07-02 |
| 1578116653 | Michelle Jewel Mcmillan | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-18 |
| 1922651132 | Elizabeth A Casebourn | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-17 |
| 1255983243 | Kate Forster | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-10 |
| 1376195420 | Christian Niece | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-09 |
| 1215598735 | Kathryn Elizabeth Kemp | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-06-25 |
| 1073074860 | Amy Busch | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-03-26 |
| 1982165783 | Summer Breeze Thies | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-03-26 |
| 1578033312 | Emily Jane Nall | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2018-12-04 |
| 1780179895 | Johna Alford | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2018-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
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| 1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on WALLOWA VALLEY CENTER FOR WELLNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.