ADVENTIST HEALTH MEDICAL GROUP – NPI #1780972562
Clinic/Center

ADVENTIST HEALTH MEDICAL GROUP is an AHC clinic located in WALLA WALLA, WA. NPPES has assigned the NPI number 1780972562 to ADVENTIST HEALTH MEDICAL GROUP on July 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTIST HEALTH MEDICAL GROUP” 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

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 below.

NPI Profile for
WALLA WALLA GENERAL HOSPITAL

NPI Number
1780972562
Enumeration Date

(about 15 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
Primary location
1111 S 2ND AVE
WALLA WALLA, WA 99362-4118
Phone: (509) 522-0100 Fax: (509) 527-8010
Mailing address
Same as primary location
Organization Subpart
Yes - ADVENTIST HEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
MONTY KNITTEL
CEO
Phone: (509) 525-0480
Updated
Identifiers

Identifiers for ADVENTIST HEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1093362
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)
261Q00000X
- Clinic/Center

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.