WALLOWA VALLEY CENTER FOR WELLNESS – NPI #1215172663
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

WALLOWA VALLEY CENTER FOR WELLNESS is a community based residential treatment facility located in JOSEPH, OR. NPPES has assigned the NPI number 1215172663 to WALLOWA VALLEY CENTER FOR WELLNESS on December 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WALLOWA VALLEY CENTER FOR WELLNESS is also known by the name JOSEPH HOUSE RESIDENTIAL TREATMENT HOME. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Nov 03, 2024. 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 WALLOWA VALLEY CENTER FOR WELLNESS below.

NPI Profile for
WALLOWA VALLEY CENTER FOR WELLNESS

NPI Number
1215172663
Enumeration Date

(more than 17 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
WALLOWA VALLEY CENTER FOR WELLNESS
Other Name: JOSEPH HOUSE RESIDENTIAL TREATMENT HOME
Primary location
301 E.SEVENTH STREET
JOSEPH, OR 97846
Phone: (541) 432-0168 Fax:
Mailing address
PO BOX 268
ENTERPRISE, OR 97828-0268
Phone: (541) 426-4524 Fax: (541) 426-3035
Organization Subpart
No
Authorized Official
CHANTAY JETT
EXECUTIVE DIRECTOR
Phone: (541) 426-4524
Updated
Certification Date
Nov 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WALLOWA VALLEY CENTER FOR WELLNESS

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
medicaidOR514506
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OR 859

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.