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WALLOWA MEMORIAL HOSPITAL-HOME HEALTH
NPI 1679579486
Home Health in Enterprise, OR

Active since June 27, 2005CLIA 38D1103090 · Waiver
601 MEDICAL PARKWAY, ENTERPRISE, OR 97828(541) 426-3111(541) 426-1901 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wallowa Memorial Hospital-home Health NPPES

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

WALLOWA MEMORIAL HOSPITAL-HOME HEALTH (NPI 1679579486) is a healthcare organization registered as a home health in Enterprise, Oregon and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Joseph Matthew Wanner, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1679579486
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameWALLOWA COUNTY HEALTH CARE DISTRICT
Location Address601 MEDICAL PARKWAYEnterprise, OR 97828-1167
Mailing Address601 Medical ParkwayEnterprise, OR 97828-1167 · (541) 426-3111 · Fax (541) 426-1901
Phone(541) 426-3111
Fax(541) 426-1901
Organization SubpartNo
Authorized OfficialJoseph Matthew WannerChief Financial Officer · (541) 426-5460
Enumeration DateJune 27, 2005
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1679579486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in OR · 14 0068
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
601 MEDICAL PARKWAY, Enterprise, OR 97828
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Other Names 1

Doing Business AsWallowa Memorial Hospital-home Health

Other Identifiers 2

Medicare ID-Type Unspecified387089OR
Medicaid046888OR

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

WALLOWA COUNTY HEALTH CARE DISTRICT
Medicare Defined Swing Bed Unit
601 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Wallowa County (541) 426-3111
WALLOWA COUNTY HEALTH CARE DISTRICT
Clinic/Center (Critical Access Hospital)
601 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Wallowa County (541) 426-3111
WALLOWA COUNTY HEALTH CARE DISTRICT
General Acute Care Hospital (Critical Access)
601 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Wallowa County (541) 426-3111

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 1679579486. It was assigned to this organization in the NPPES registry on June 27, 2005. The provider is doing business as Wallowa Memorial Hospital-Home Health.

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 Home Health with taxonomy code 251E00000X.

Does Wallowa County Health Care District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1103090) is associated with this NPI, valid through August 2, 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 Moda Health Plan, Inc. 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 September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.