Walla Walla Clinic, Inc. in Milton Freewater - Clinic/center
Walla Walla Clinic, Inc. - NPI 1063521862
Walla Walla Clinic, Inc. is a Clinic/center in Milton Freewater, Oregon. Walla Walla Clinic, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Walla Walla Clinic, Inc. is 1063521862. The last update date is 2017-12-18.
Walla Walla Clinic, Inc.'s current location address is 10 Ne 5th Ave, Milton Freewater, Oregon. You can contact this provider via phone number 5419383314 and fax number 5419384449. The mailing address for Walla Walla Clinic, Inc. is 10 Ne 5th Ave, Milton Freewater, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Walla Walla Clinic, Inc. |
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Address | 10 Ne 5th Ave, Milton Freewater, Oregon |
Phone Number | 5419383314 |
Fax Number | 5419384449 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Michelson Kevin |
Telephone Number | 5095253720 |
NPI Number Detail
NPI Number | 1063521862 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2017-12-18 |
Provider Mailing Address Detail
Address | 10 Ne 5th Ave |
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City | Milton Freewater |
State | Oregon (OR) |
Post Code | 978621702 |
Phone Number | 5419383314 |
Fax Number | 5419384449 |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique 10-digit identification code assigned to Walla Walla Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Walla Walla Clinic, Inc. has been issued the NPI (National Provider Identifier) 1063521862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walla Walla Clinic, Inc.?
The Walla Walla Clinic, Inc. is physically situated at 10 Ne 5Th Ave, in the city of Milton Freewater, state of OR, with the postal code 978621702.
What is Walla Walla Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Walla Walla Clinic, Inc. is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date did the Walla Walla Clinic, Inc. receive its 1063521862 assignment from the Centers for Medicare & Medicaid Services?
The Walla Walla Clinic, Inc. was assigned its 1063521862 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the Walla Walla Clinic, Inc.'s details last updated?
The information pertaining to the Walla Walla Clinic, Inc., including its address, specialty, and other details, was most recently updated on 2017-12-18.
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