WALLOWA MEMORIAL HOSPITAL
NPI 1558366229
General Acute Care Hospital - Critical Access in Enterprise, OR

Active since June 17, 2005
601 MEDICAL PARKWAY, ENTERPRISE, OR 97828(541) 426-3111(541) 426-1901 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wallowa Memorial Hospital NPPES

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

WALLOWA MEMORIAL HOSPITAL (NPI 1558366229) is a healthcare organization registered as a critical access in Enterprise, Oregon and active in the NPI registry since June 2005. The organization lists Joseph Matthew Wanner, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558366229
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameWALLOWA COUNTY HEALTH CARE DISTRICT
Location Address601 MEDICAL PARKWAYEnterprise, OR 97828-1167
Mailing Address601 Medical ParkwayEnterprise, OR 97828-5124 · (541) 426-3111 · Fax (541) 426-4095
Fax(541) 426-1901
Organization SubpartNo
Authorized OfficialJoseph Matthew WannerChief Financial Officer · (541) 426-5460
Enumeration DateJune 17, 2005
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1558366229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in OR · 14 0068
Also ListedAmbulanceTaxonomy 341600000X
601 MEDICAL PARKWAY, Enterprise, OR 97828

Other Names 1

Doing Business AsWallowa Memorial Hospital

Other Identifiers 1

Medicaid214205OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallowa Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Wallowa Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Family Practice11
Certified Registered Nurse Anesthetist (CRNA)4
Emergency Medicine3
Orthopedic Surgery3
General Surgery2
Podiatry1
Urology1

Nearest to this location (20)

See all 25
Podiatry
NPI 1114507795
601 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-3111
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750761284
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1164456539
603 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1588658801
603 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-3870
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1326508631
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023429883
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1295773463
100 N. EAST ST
Joseph, OR 97846
(541) 432-7777
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1609821263
616 W NORTH ST
Enterprise, OR 97828
(541) 426-3797
✔ PECOS✔ Accepts Medicare16 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649638875
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ Accepts Medicare41 mi
Family Practice
NPI 1073924361
3950 17TH ST STE A
Baker City, OR 97814
(541) 523-1001
✔ PECOS✔ Accepts Medicare52 mi
Family Practice
NPI 1306891783
3325 POCAHONTAS
Baker City, OR 97814
(541) 523-8111
✔ PECOS52 mi
Emergency Medicine
NPI 1295772291
1601 SE COURT AVENUE
Pendleton, OR 97801
(541) 276-5121
✔ PECOS✔ Accepts Medicare74 mi
Orthopedic Surgery
NPI 1619124906
8854 W EMERALD ST STE 140
Boise, ID 83704
(208) 321-4790
✔ PECOS✔ Accepts Medicare135 mi
Urology
NPI 1467815530
8854 W EMERALD ST STE 140
Boise, ID 83704
(208) 321-4790
✔ PECOS✔ Accepts Medicare135 mi
Family Practice
NPI 1578825022
777 N RAYMOND ST
Boise, ID 83704
(208) 514-2500
✔ PECOS✔ Accepts Medicare135 mi
Family Practice
NPI 1003499211
777 N RAYMOND ST
Boise, ID 83704
(208) 514-2500
✔ PECOS✔ Accepts Medicare135 mi
Orthopedic Surgery
NPI 1467454181
15755 SW SEQUOIA PKWY STE 200
Tigard, OR 97224
(503) 639-6002
✔ PECOS✔ Accepts Medicare266 mi
Emergency Medicine
NPI 1598842650
3600 NW SAMARITAN DRIVE
Corvallis, OR 97330
(541) 753-1909
✔ PECOS✔ Accepts Medicare298 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811537012
118 E HASKELL ST
Winnemucca, NV 89445
(775) 623-5222
✔ Accepts Medicare309 mi
General Surgery
NPI 1821202557
1014 SAINT CLAIR BLVD SUITE 3015
Gonzales, LA 70737
(225) 743-2455
✔ PECOS✔ Accepts Medicare1,770 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1558366229. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as Wallowa Memorial Hospital.

Where is Wallowa County Health Care District located?

Wallowa County Health Care District is located at 601 Medical Parkway, Enterprise, OR 97828. The listed phone number is (541) 426-3111.

What is Wallowa County Health Care District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Wallowa County Health Care District enrolled in Medicare?

Yes. Wallowa County Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallowa County Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 7 Medicare specialties reassign their Medicare billing to Wallowa County Health Care District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (11), Certified Registered Nurse Anesthetist (CRNA) (4) and Emergency Medicine (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wallowa County Health Care District accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 February 28, 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.