WALLA WALLA COMMUNITY HOSPICE (NPI# 1497759203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497759203 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA COMMUNITY HOSPICE |
| Practice Address |
1067 E Isaacs Ave Walla Walla WA 99362-2040 |
| Mailing Address |
Po Box 2026 Walla Walla WA 99362-0948 |
| Practice Telephone | 5095255561 |
| Practice Fax Number | 5095253517 |
| Mailing Telephone | 5095255561 |
| Mailing Fax Number | 5095253517 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA L HENDRICKS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5095255561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | IS-469 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3990132 | 05 | |
| OR | 132121 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLA WALLA COMMUNITY HOSPICE | 1067 Isaacs Avenue, Walla Walla, WA 99362 |
| Washington State Corporations | WALLA WALLA COMMUNITY HOSPICE | 1067 Isaacs Ave, Walla Walla, WA 99362 |
| Street Address |
1067 E ISAACS AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144038 | Signature Hospice Bellingham, LLC | Hospice Care, Community Based | 459 W Stuart Rd, Bellingham, WA 98226-1204 | 2019-09-30 |
| 1609417765 | Signature Hospice Snohomish, LLC | Hospice Care, Community Based | 1510 140th Ave Ne Ste 100, Bellevue, WA 98005-4572 | 2019-09-30 |
| 1598318941 | Continuum Care of Snohomish, LLC | Hospice Care, Community Based | 1000 Se Everett Mall Way Ste 402, Everett, WA 98208-2814 | 2019-07-24 |
| 1477010940 | Envision Hospice of Washington LLC | Hospice Care, Community Based | 402 Black Hills Ln Sw Ste 402b, Olympia, WA 98502-8145 | 2019-02-21 |
| 1578083416 | Pharos Care Hospice | Hospice Care, Community Based | 2813 63rd Avenue Ct Nw, Gig Harbor, WA 98335-8455 | 2017-06-21 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1639415466 | Hospice of Kitsap County | Hospice Care, Community Based | 10356 Silverdale Way Nw, Silverdale, WA 98383-7674 | 2012-12-26 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1891958153 | Public Hospital District No 2 | Hospice Care, Community Based | 12040 Ne 128th St # Ms -119, Kirkland, WA 98034-3013 | 2008-07-08 |
| 1093870487 | Harbors Home Health & Hospice | Hospice Care, Community Based | 201 7th St, Hoquiam, WA 98550-2506 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on WALLA WALLA COMMUNITY HOSPICE.
| 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.