WALLOWA COUNTY HEALTH CARE DISTRICT (NPI# 1447256250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447256250 |
| Entity Type | Organization |
| Organization Name | WALLOWA COUNTY HEALTH CARE DISTRICT |
| Other Organization Name | WALLOWA MEMORIAL HOSPITAL |
| Practice Address |
601 Medical Parkway Enterprise OR 97828-1167 |
| Mailing Address |
601 Medical Parkway Enterprise OR 97828 |
| Practice Telephone | 5414263111 |
| Practice Fax Number | 5414261901 |
| Mailing Telephone | 5414263111 |
| Mailing Fax Number | 5414261901 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | JOSEPH MATTHEW WANNER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5414265460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
14-0068 | OR | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 140068 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wallowa Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1255310371 | Wallowa County Health Care District | Nursing Facility/Intermediate Care Facility | 207 E Park Street, Enterprise, OR 97828-1167 | 2006-01-17 |
| 1922004738 | Wallowa County Health Care District | Hospice Care, Community Based | 403 Ne 1st St, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
| 1528442837 | Wallowa County Health Care District | General Acute Care Hospital | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-07-16 |
| 1790167831 | Wallowa County Health Care District | General Acute Care Hospital | 100 N East St, Joseph, OR 97846-8451 | 2015-06-25 |
| 1679579486 | Wallowa County Health Care District | Home Health | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1164428066 | Wallowa County Health Care District | Medicare Defined Swing Bed Unit | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-24 |
| Street Address |
601 MEDICAL PARKWAY |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
| 1679579486 | Wallowa County Health Care District | Home Health | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-27 |
| 1164428066 | Wallowa County Health Care District | Medicare Defined Swing Bed Unit | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-24 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
| 1528266392 | Lawrence Leonard Woods | Family Medicine | 107 Sw 1st St, Suite 104, Enterprise, OR 97828-1201 | 2007-07-03 |
| 1134130131 | David Nathaniel Arthur Ryan | Family Medicine | 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330-1312 | 2006-08-11 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1134162092 | Lawrence Leonard Woods | Family Medicine | 107 Sw 1st St Ste 104, Enterprise, OR 97828-1285 | 2006-06-14 |
| 1124067632 | Walter J Lawrence | Family Medicine | 551 Glover Ave, Enterprise, AL 36330-2041 | 2006-06-06 |
| 1609821263 | Emily A Sheahan | Family Medicine | 616 W North St, Enterprise, OR 97828-1427 | 2006-05-23 |
| 1851349179 | Montgomery C Peden | Family Medicine | 101 Professional Lane, Enterprise, AL 36330 | 2006-05-05 |
| 1972575777 | Shean Eric Phelps | Family Medicine | 2 Cottage Ave, Enterprise, AL 36330-8552 | 2006-02-06 |
| 1710967500 | Howard Russell Cook | Family Medicine | 805 E Lee St, Ste C, Enterprise, AL 36330-2477 | 2006-01-18 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on WALLOWA COUNTY HEALTH CARE DISTRICT.
| 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.