| Department Of Veteran's Affairs | |
|
77 Wainwright Dr Walla Walla WA 99362-3975 | |
| (509) 525-5200 | |
| Not Available |
| Full Name | Department Of Veteran's Affairs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 77 Wainwright Dr, Walla Walla, Washington |
| Authorized Official Name and Position | Charles Beleny (CHIEF OF STAFF) |
| Authorized Official Contact | 5095255200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veteran's Affairs 77 Wainwright Dr Walla Walla WA 99362-3975 Ph: (509) 525-5200 | Department Of Veteran's Affairs 77 Wainwright Dr Walla Walla WA 99362-3975 Ph: (509) 525-5200 |
| NPI Number | 1407101850 |
|---|---|
| Provider Enumeration Date | 07/20/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407101850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | LW60058779 (Washington) | Primary |
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