WALLOWA COUNTY VA CLINIC (4065) INSTITUTION (4)

Name	Value
NAME	WALLOWA COUNTY VA CLINIC
STATE	OREGON
STREET ADDR. 1	401 NORTHEAST 1ST STREET, SUITE A
CITY	ENTERPRISE
ZIP	97828-1186
OFFICIAL VA NAME	WALLOWA COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: JONATHAN M. WAINWRIGHT VAMC
BILLING FACILITY NAME	ENTERPRISE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1710378898
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	687QC