ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC – NPI #1376894048
Clinic/Center

ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC is an AHC clinic located in PROSSER, WA. NPPES has assigned the NPI number 1376894048 to ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC on September 21, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC” is a dba name, the actual legal business name for this organization is WALLA WALLA GENERAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 11 years ago on Feb 03, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC below.

NPI Profile for
WALLA WALLA GENERAL HOSPITAL

NPI Number
1376894048
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALLA WALLA GENERAL HOSPITAL
Doing Business As (dba): ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC
Primary location
336 CHARDONNAY AVE STE A
PROSSER, WA 99350
Phone: (509) 786-2002 Fax: (509) 786-2026
Mailing address
PO BOX 1398
WALLA WALLA, WA 99362-0309
Phone: (509) 522-0100 Fax: (509) 527-8010
Organization Subpart
Yes - ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC is subpart of another organization.
Authorized Official
MONTY KNITTEL
CEO
Phone: (509) 525-0480
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
WA 363006281
261QR1300X
- Clinic/Center / Rural Health
261Q00000X
- Clinic/Center
WA 363006281

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.