WALLOWA RIVER HOUSE
NPI 1417192972
Community Based Residential Treatment Facility, Mental Illness in Wallowa, OR
About Wallowa River House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLOWA RIVER HOUSE (NPI 1417192972) is a healthcare organization registered as a community based residential treatment facility, mental illness in Wallowa, Oregon and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Chantay Jett, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
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 38D2118594
Wallowa River House · Wallowa, OROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Valley Center For Wellness's NPI number?
The NPI number for Wallowa Valley Center For Wellness is 1417192972. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is also known as Wallowa River House.
Where is Wallowa Valley Center For Wellness located?
Wallowa Valley Center For Wellness is located at 601 Whiskey Creek Rd, Wallowa, OR 97885. The listed phone number is (541) 886-3142.
What is Wallowa Valley Center For Wellness's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Does Wallowa Valley Center For Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2118594) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wallowa Valley Center For Wellness was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Wallowa River House · NPI 1417192972
Community Based Residential Treatment Facility, Mental Illness organization in Wallowa, Oregon. Organization record, active in the CMS NPPES registry since December 11, 2008.
## Identity
- **NPI:** 1417192972 (Entity type: Organization)
- **Enumerated:** December 11, 2008
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Legal business name:** Wallowa Valley Center For Wellness
- **Organization subpart:** No
- **Authorized official:** Chantay Jett, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 601 WHISKEY CREEK RD, Wallowa, OR 97885-7129
- **Phone:** (541) 886-3142
## Record status
- **NPPES last updated:** November 3, 2024
- **Other identifiers:** Medicaid 517796 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417192972) · Data from the CMS NPPES public registry.