WALLA WALLA GENERAL HOSPITAL (NPI# 1376894048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376894048 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA GENERAL HOSPITAL |
| Other Organization Name | ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC |
| Practice Address |
336 Chardonnay Ave Ste A Prosser WA 99350 |
| Mailing Address |
Po Box 1398 Walla Walla WA 99362-0309 |
| Practice Telephone | 5097862002 |
| Practice Fax Number | 5097862026 |
| Mailing Telephone | 5095220100 |
| Mailing Fax Number | 5095278010 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | MONTY E KNITTEL (CEO) |
| Authorized Official Telephone | 5095250480 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALLA WALLA GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 363006281 | WA | Ambulatory Health Care Facilities |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
363006281 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Adventist Health Medical Group Prosser Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013299965 | Walla Walla General Hospital | Pharmacy | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-09-16 |
| 1780972562 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-07-14 |
| 1821394750 | Walla Walla General Hospital | Surgery | 1017 S 2nd Ave, Ste 1, Walla Walla, WA 99362-4183 | 2011-02-10 |
| 1992958771 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2008-10-24 |
| 1013943778 | Walla Walla General Hospital | Plastic Surgery | 1017 S 2nd Ave, Walla Walla, WA 99362-4183 | 2006-06-24 |
| 1467436030 | Walla Walla General Hospital | Medicare Defined Swing Bed Unit | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-12-06 |
| 1760466114 | Walla Walla General Hospital | Clinic/Center | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLA WALLA GENERAL HOSPITAL | 1025 S Second Avenue, Walla Walla, WA 99362 |
| Washington State Corporations | WALLA WALLA GENERAL HOSPITAL | 1 Adventist Health Way, Roseville, CA 95661-3266 |
| Street Address |
336 CHARDONNAY AVE STE A |
| City | PROSSER |
| State | WA |
| Zip Code | 99350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841812500 | Afton Royce Dunham | Nurse Practitioner | 336 Chardonnay Ave Ste A, Prosser, WA 99350-9515 | 2020-05-15 |
| 1477088391 | Prosser Public Hospital District of Benton County | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801272182 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 471 Wine Country Road, Prosser, WA 99350 | 2015-08-10 |
| 1083091466 | Sarah Min | Pediatrics | Prosser Clinic-prosser Memorial Health, 336 Chardonnay Ave Suite A, Prosser, WA 99350 | 2015-05-05 |
| 1174939805 | Kiranmayi Korimerla | Family Medicine | 336 Chardinnay Ave #a, Kadlec Clinic Prosser Primary Care, Prosser, WA 99350 | 2014-07-02 |
| 1427478965 | Dzmitry Zhmurouski | Internal Medicine | 336 Chardonnay Ave., Suite A, Prosser, WA 99350 | 2014-04-23 |
| 1972920080 | David Carl | Pediatrics | Benton City Clinic-prosser Memorial Health, 701 Dale Ave Suite A, Benton City, WA 99350 | 2014-03-26 |
| 1619310554 | Weslee Chew | Surgery | Prosser Specialty Clinic-prosser Memorial Health, 820 Memorial Street Suite 3, Prosser, WA 99350 | 2013-04-10 |
| 1871844894 | Teresa Renee Charvet | Physician Assistant | 336 Chardonnay Ave Bldg 3, Prosser, WA 99350 | 2012-10-01 |
| 1902162274 | Nicole Deanne Denny | Speech-Language Pathologist | 326 Chardonnay Blvd, Prosser Physical Therapy and Rehab, Prosser, WA 99350 | 2012-04-11 |
| 1386934461 | Brian G Sollers | Obstetrics & Gynecology | 336 Chardonnay Ave, Bldg 3, Prosser, WA 99350 | 2011-04-11 |
| 1073811998 | Stefanie Jean Wisse | Dietitian, Registered | 820 Memorial St., Suite 1, Prosser, WA 99350 | 2011-03-01 |
| Find all providers in zip 99350 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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| 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.