| Walla Walla General Hospital | |
|
1025 S 2nd Ave Walla Walla WA 99362-4116 | |
| (509) 525-0480 | |
| (509) 527-8159 |
| Full Name | Walla Walla General Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1025 S 2nd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Rick D Bockmann (CEO) |
| Authorized Official Contact | 5095250480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walla Walla General Hospital Po Box 1398 Walla Walla WA 99362-0309 Ph: (509) 525-0480 | Walla Walla General Hospital 1025 S 2nd Ave Walla Walla WA 99362-4116 Ph: (509) 525-0480 |
| NPI Number | 1760466114 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760466114 | NPI | - | NPPES |
| 208850 | Medicaid | OR | |
| 1018337 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | HAC.FS.00000043 (Washington) | Primary |
Family Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-0247 | |
Im Locum Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 S 2nd Ave, Walla Walla, WA 99362 Phone: 702-453-3799 Fax: 702-453-5741 | |
Blue Mountain Medical Goup, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 | |
Providence Medical Group Southeast Washington Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Chase Avenue, Pmg Se Wa Rural Health Clinic, Walla Walla, WA 99362 Phone: 509-526-3333 Fax: 509-526-8402 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Main St, Walla Walla, WA 99362 Phone: 877-522-1275 Fax: 509-491-3031 | |
R & B Fleck Enterprises, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1365 Beet Rd, Walla Walla, WA 99362 Phone: 509-520-1794 Fax: 509-529-5860 | |
Choice Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 Thorne St, Walla Walla, WA 99362 Phone: 509-876-9707 Fax: 509-955-1339 |