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St Mary Medical Center
Home Health Agency in Walla Walla, Washington
NPI 1124114921

St Mary Medical Center is a Home Health Agency based in Walla Walla, WA. St Mary Medical Center practices in Walla Walla, WA. The NPI Number for St Mary Medical Center is 1124114921 and holds a License No. IS446 (Washington).

The current practice location address for St Mary Medical Center is 401 W Poplar, Walla Walla, WA and can be reached out via phone at 509-522-5710 and via fax at 509-522-5872. You can also correspond with St Mary Medical Center through the mailing address at PO BOX 1477, WALLA WALLA, WA - 99362 (mailing address contact number: 509-522-5900).

Location: 401 W Poplar, Walla Walla, WA, 99362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124114921
Provider Name
St Mary Medical Center
Credential
Provider Entity Type
Organization
Address
401 W Poplar, Walla Walla, WA, 99362
Phone Number
509-522-5710
Fax Number
509-522-5872
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74073 01 WA L & I
711956 05 OR
9109703 05 WA
institution
Provider Business Practice Location Address Details
Address
401 W Poplar
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-5710
Fax Number
509-522-5872
person
Provider Business Mailing Address Details
Address
401 W Poplar
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-5710
Fax Number
509-522-5872
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
IS446 (Washington)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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