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WALLOWA MEMORIAL MEDICAL CLINIC - DOWNTOWN
NPI 1295338333
Clinic/Center - Rural Health in Enterprise, OR

Active since November 20, 2020CLIA Certified · 4 labs
306 W NORTH ST, ENTERPRISE, OR 97828(541) 426-7900 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Nov 20, 2020 (2 updates tracked since 2020).

About Wallowa Memorial Medical Clinic - Downtown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLOWA MEMORIAL MEDICAL CLINIC - DOWNTOWN (NPI 1295338333) is a healthcare organization registered as a rural health in Enterprise, Oregon and active in the NPI registry since November 2020. The organization holds 4 active CLIA laboratory certificates and lists Joseph Wanner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295338333
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWALLOWA COUNTY HEALTH CARE DISTRICT
Location Address306 W NORTH STEnterprise, OR 97828-1041
Mailing Address601 Medical PkwyEnterprise, OR 97828-5124 · (541) 426-3111
Phone(541) 426-7900
Organization SubpartYes
Authorized OfficialJoseph WannerCfo · (541) 426-5460
Enumeration DateNovember 20, 2020
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1295338333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
306 W NORTH ST, Enterprise, OR 97828
Open in Google Maps ↗

Other Names 1

Doing Business AsWallowa Memorial Medical Clinic - Downtown

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2014213

Wallowa Memorial Medical Clinic-Downtown · Enterprise, OR
Active · expires Mar 25, 2027
CLIA Number38D2014213
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorTraci Frye Fnp-C
Laboratory Phone(541) 426-7900
Laboratory LocationWallowa Memorial Medical Clinic-Downtown306 W North Street, Enterprise, OR 97828
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D1103090

Wallowa County Health Care Dist Ems · Enterprise, OR
Active · expires Aug 2, 2027
CLIA Number38D1103090
Laboratory TypeAmbulance
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorTimothy D. Peck
Laboratory Phone(541) 426-3111
Laboratory LocationWallowa County Health Care Dist Ems601 Medical Parkway, Enterprise, OR 97828
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0628572

Wallowa Memorial Medical Clinic - Joseph · Joseph, OR
Active · expires Dec 31, 2027
CLIA Number38D0628572
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorTraci Frye
Laboratory Phone(541) 426-7900
Laboratory LocationWallowa Memorial Medical Clinic - Joseph800 N Main, Joseph, OR 97846
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2098226

Wallowa Memorial Medical Clinic - Enterprise · Enterprise, OR
Active · expires Jul 1, 2027
CLIA Number38D2098226
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorTraci M Frye Fnp
Laboratory Phone(541) 426-7900
Laboratory LocationWallowa Memorial Medical Clinic - Enterprise603 Medical Parkway, Enterprise, OR 97828
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL MCDONALD DNP, FNP-BC, BSN, RN
Nurse Practitioner (Family)
306 W NORTH ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-7171
SEAN BRIAN MURRAY
Pharmacist
306 W NORTH ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallowa County Health Care District's NPI number?

The NPI number for Wallowa County Health Care District is 1295338333. It was assigned to this organization in the NPPES registry on November 20, 2020. The provider is doing business as Wallowa Memorial Medical Clinic - Downtown.

Where is Wallowa County Health Care District located?

Wallowa County Health Care District is located at 306 W North St, Enterprise, OR 97828. The listed phone number is (541) 426-7900.

What is Wallowa County Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Wallowa County Health Care District hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wallowa County Health Care District accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Wallowa County Health Care District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wallowa County Health Care District was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.