GRANT CO PUBLIC HOSPITAL DISTRICT 3 (NPI# 1457414799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457414799 |
Entity Type | Organization |
Organization Name | GRANT CO PUBLIC HOSPITAL DISTRICT 3 |
Other Organization Name | COLUMBIA BASIN FAMILY MEDICINE CLINIC |
Practice Address |
220 Nat Washington Way Ephrata WA 98823-1982 |
Practice Telephone | 5097543330 |
Practice Fax Number | 5097542351 |
Mailing Telephone | 5097543330 |
Mailing Fax Number | 5097542351 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2016-12-07 |
Authorized Official Name | ROSALINDA KIBBY (EXECUTIVE ASSISTANT) |
Authorized Official Telephone | 5097544631 |
Authorized Official Credential | CPCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | REGENCE | CO0198 | 01 |
WA | L & I | 0073230 | 01 |
WA | MEDICARE RAILROAD | CO07813 | 01 |
WA | 7105331 | 05 | |
WA | MEDICARE ID TYPE UNSPECIFIED | 503985 | 01 |
WA | L & I CRIME VICTIMS | 8918013 | 01 |
Other Name | Type Code |
---|---|
Columbia Basin Family Medicine Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699839472 | Grant Co Public Hospital District 3 | Family Medicine | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-12-19 |
Street Address |
220 NAT WASHINGTON WAY |
City | EPHRATA |
State | WA |
Zip Code | 98823-1982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588647507 | Nadine Strand Mahler | Nurse Practitioner | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2005-11-23 |
1265712152 | Suzanne Louise Dunn | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2011-08-23 |
1265674295 | Lisa Kristine Corsie | Nurse Practitioner | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2009-04-06 |
1699839472 | Grant Co Public Hospital District 3 | Family Medicine | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-12-19 |
1902907470 | Kathleen Holloway | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823 | 2006-09-26 |
1952401838 | Alexander L Brzezny | Family Medicine | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487070033 | Rebecca Marie Long | Registered Nurse | 23915 Rd H.5 Nw, Ephrata, WA 98823 | 2014-03-06 |
1386067726 | Kristy Ogle | Pharmacist | 1399 S.e. Blvd, Ephrata, WA 98823 | 2014-01-21 |
1306995477 | Katherine J Vertrees | Counselor | 708 Penn St, Moses Lakes, WA 98823 | 2007-01-09 |
1689769275 | Ephrata School District | Local Education Agency (LEA) | 501 'c' St Nw, Ephrata, WA 98823 | 2006-10-03 |
1386661411 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1399 Se Blvd, Ephrata, WA 98823 | 2006-07-16 |
1629385232 | Ephrata Eye Care, Pllc | Optometrist | 1070 Basin St Sw Ste F, Ephrata, WA 98823-1005 | 2010-09-02 |
1811983299 | George T Sisson | Optometrist | 1070 Basin St Sw, Ste F, Ephrata, WA 98823-1005 | 2005-09-21 |
1578648010 | Robert Daniel Ross | Chiropractor | 523 1st Ave Nw, Ephrata, WA 98823-1501 | 2006-10-25 |
1245587567 | Phyllis Fuglie | Massage Therapist | 523 1st Ave Nw, Ephrata, WA 98823-1501 | 2012-08-06 |
1497304836 | Annette B Berg | Home Health Aide | 216 Maringo Rd, Ephrata, WA 98823-1528 | 2019-09-09 |
Find all providers in zip 98823 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358889 | Wenatchee Valley Hospital | Clinic/Center | 314 Basin St Sw, Ephrata, WA 98823-1850 | 2019-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.