| Wallowa Memorial Medical Clinic - Wallowa | |
|
211 East 2nd St Wallowa OR 97885 | |
| (541) 426-7900 | |
| Not Available |
| Full Name | Wallowa Memorial Medical Clinic - Wallowa |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 East 2nd St, Wallowa, Oregon |
| Authorized Official Name and Position | Joseph Wanner (CFO) |
| Authorized Official Contact | 5414265460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallowa Memorial Medical Clinic - Wallowa 601 Medical Pkwy Enterprise OR 97828-5124 Ph: (541) 426-5460 | Wallowa Memorial Medical Clinic - Wallowa 211 East 2nd St Wallowa OR 97885 Ph: (541) 426-7900 |
| NPI Number | 1508452160 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 4183537566 |
|---|---|
| Medicare Enrollment ID | O20210203002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508452160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Winding Waters Wallowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 W Hwy 82, Wallowa, OR 97885 Phone: 541-426-4502 | |
Winding Waters Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E First Street, Wallowa, OR 97885 Phone: 541-886-2431 Fax: 541-886-2211 |