Healthcare Provider Details

I. General information

NPI: 1356857320
Provider Name (Legal Business Name): WENATCHEE VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2017
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 RED APPLE RD
WENATCHEE WA
98801-3370
US

IV. Provider business mailing address

PO BOX 361
WENATCHEE WA
98807-0361
US

V. Phone/Fax

Practice location:
  • Phone: 509-663-8711
  • Fax:
Mailing address:
  • Phone: 509-663-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. GLENN ADAMS
Title or Position: COO
Credential:
Phone: 509-663-8711