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An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access Hospital |
261QC0050X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1447256250 |
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| LBN Legal business name | WALLOWA COUNTY HEALTH CARE DISTRICT | ||||||||
| Authorized official | JOSEPH WANNER - (CHIEF FINANCIAL OFFICER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/27/2005 | ||||||||
| Last updated | 01/31/2023 - About 3 years ago | ||||||||
| Identifiers |
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WALLOWA COUNTY HEALTH CARE DISTRICT
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WALLOWA COUNTY HEALTH CARE DISTRICT