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WALLOWA MEMORIAL MEDICAL CLINIC - WALLOWA
NPI 1508452160
Clinic/Center - Rural Health in Wallowa, OR

Active since December 17, 2020CLIA 38D2215319 · Waiver
211 EAST 2ND ST, WALLOWA, OR 97885(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, Dec 17, 2020 (2 updates tracked since 2020).

About Wallowa Memorial Medical Clinic - Wallowa NPPES

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

WALLOWA MEMORIAL MEDICAL CLINIC - WALLOWA (NPI 1508452160) is a healthcare organization registered as a rural health in Wallowa, Oregon and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Joseph Wanner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508452160
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWALLOWA COUNTY HEALTH CARE DISTRICT
Location Address211 EAST 2ND STWallowa, OR 97885
Mailing Address601 Medical PkwyEnterprise, OR 97828-5124 · (541) 426-5460
Phone(541) 426-7900
Organization SubpartNo
Authorized OfficialJoseph WannerCfo · (541) 426-5460
Enumeration DateDecember 17, 2020
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1508452160 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
211 EAST 2ND ST, Wallowa, OR 97885
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Other Names 1

Doing Business AsWallowa Memorial Medical Clinic - Wallowa

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 Providence Health Plan.Insurance ›

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 38D2215319

Wallowa Memorial Medical Clinic-Wallowa · Wallowa, OR
Active · expires Mar 1, 2027
CLIA Number38D2215319
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorTraci Frye
Laboratory Phone(541) 786-7900
Laboratory LocationWallowa Memorial Medical Clinic-Wallowa701 W Highway 82, Wallowa, OR 97885
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1508452160. It was assigned to this organization in the NPPES registry on December 17, 2020. The provider is doing business as Wallowa Memorial Medical Clinic - Wallowa.

Where is Wallowa County Health Care District located?

Wallowa County Health Care District is located at 211 East 2nd St, Wallowa, OR 97885. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2215319) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wallowa County Health Care District accept?

Health plans from 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.