PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY (NPI# 1477088391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477088391 |
| Entity Type | Organization |
| Organization Name | PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY |
| Other Organization Name | PROSSER CLINIC-PROSSER MEMORIAL HEALTH |
| Practice Address |
336 Chardonnay Ave Ste A Prosser WA 99350 |
| Mailing Address |
723 Memorial St Prosser WA 99350-1524 |
| Practice Telephone | 5097861576 |
| Practice Fax Number | 5097861574 |
| Mailing Telephone | 5097862222 |
| Mailing Fax Number | 5097866612 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | CRAIG MARKS (CEO) |
| Authorized Official Telephone | 5097862222 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prosser Clinic-Prosser Memorial Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199072 | Prosser Public Hospital District of Benton County | Clinic/Center | 1105 Dale, Benton City, WA 99320 | 2006-06-08 |
| 1306897681 | Prosser Public Hospital District of Benton County | Clinic/Center | 723 Memorial Street, Prosser, WA 99350-1524 | 2006-05-12 |
| 1821556408 | Prosser Public Hospital District of Benton County | Clinic/Center | 336 Chardonnay Ave Bldg 3, Prosser, WA 99350-9515 | 2019-03-04 |
| 1376026237 | Prosser Public Hospital District of Benton County | Clinic/Center | 1003 Wallace Way, Grandview, WA 98930 | 2018-09-07 |
| 1023237674 | Prosser Public Hospital District of Benton County | General Acute Care Hospital | 723 Memorial St, Prosser, WA 99350-1524 | 2007-04-24 |
| 1134169493 | Prosser Public Hospital District of Benton County | Skilled Nursing Facility | 723 Memorial St, Prosser, WA 99350-1524 | 2006-06-07 |
| 1639118490 | Prosser Public Hospital District of Benton County | Home Health | 723 Memorial Street, Prosser, WA 99350-1524 | 2006-06-06 |
| 1013956259 | Prosser Public Hospital District of Benton County | Medicare Defined Swing Bed Unit | 723 Memorial Street, Prosser, WA 99350-1524 | 2006-06-05 |
| Street Address |
336 CHARDONNAY AVE STE A |
| City | PROSSER |
| State | WA |
| Zip Code | 99350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894048 | Walla Walla General Hospital | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2012-09-21 |
| 1841812500 | Afton Royce Dunham | Nurse Practitioner | 336 Chardonnay Ave Ste A, Prosser, WA 99350-9515 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801272182 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 471 Wine Country Road, Prosser, WA 99350 | 2015-08-10 |
| 1083091466 | Sarah Min | Pediatrics | Prosser Clinic-prosser Memorial Health, 336 Chardonnay Ave Suite A, Prosser, WA 99350 | 2015-05-05 |
| 1174939805 | Kiranmayi Korimerla | Family Medicine | 336 Chardinnay Ave #a, Kadlec Clinic Prosser Primary Care, Prosser, WA 99350 | 2014-07-02 |
| 1427478965 | Dzmitry Zhmurouski | Internal Medicine | 336 Chardonnay Ave., Suite A, Prosser, WA 99350 | 2014-04-23 |
| 1972920080 | David Carl | Pediatrics | Benton City Clinic-prosser Memorial Health, 701 Dale Ave Suite A, Benton City, WA 99350 | 2014-03-26 |
| 1619310554 | Weslee Chew | Surgery | Prosser Specialty Clinic-prosser Memorial Health, 820 Memorial Street Suite 3, Prosser, WA 99350 | 2013-04-10 |
| 1871844894 | Teresa Renee Charvet | Physician Assistant | 336 Chardonnay Ave Bldg 3, Prosser, WA 99350 | 2012-10-01 |
| 1902162274 | Nicole Deanne Denny | Speech-Language Pathologist | 326 Chardonnay Blvd, Prosser Physical Therapy and Rehab, Prosser, WA 99350 | 2012-04-11 |
| 1386934461 | Brian G Sollers | Obstetrics & Gynecology | 336 Chardonnay Ave, Bldg 3, Prosser, WA 99350 | 2011-04-11 |
| 1073811998 | Stefanie Jean Wisse | Dietitian, Registered | 820 Memorial St., Suite 1, Prosser, WA 99350 | 2011-03-01 |
| Find all providers in zip 99350 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.