WENATCHEE VALLEY HOSPITAL (NPI# 1629315445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629315445 |
| Entity Type | Organization |
| Organization Name | WENATCHEE VALLEY HOSPITAL |
| Other Organization Name | CONFLUENCE HEALTH MOSES LAKE |
| Practice Address |
840 E Hill Ave Moses Lake WA 98837-2238 |
| Mailing Address |
Po Box 361 Wenatchee WA 98807-0361 |
| Practice Telephone | 5097650216 |
| Mailing Telephone | 5096638711 |
| Mailing Fax Number | 5096647178 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | MR. CORY FERARI-ZIMMERMAN (CFO INTERIM) |
| Authorized Official Telephone | 5094333824 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENATCHEE VALLEY HOSPITAL |
| 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 | 7070311 | 05 |
| Other Name | Type Code |
|---|---|
| Confluence Health Moses Lake | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548507338 | Wenatchee Valley Hospital | Family Medicine | 103 Camelia St. N.w., Royal City, WA 99357 | 2013-01-14 |
| 1184977704 | Wenatchee Valley Hospital | Family Medicine | 117 S. Chelan Ave., Waterville, WA 98858 | 2012-10-19 |
| 1093358889 | Wenatchee Valley Hospital | Clinic/Center | 314 Basin St Sw, Ephrata, WA 98823-1850 | 2019-10-24 |
| 1639734320 | Wenatchee Valley Hospital | Durable Medical Equipment & Medical Supplies | 1000b N Miller St, Wenatchee, WA 98801-1512 | 2019-05-08 |
| 1356857320 | Wenatchee Valley Hospital | Audiologist | 933 Red Apple Rd, Wenatchee, WA 98801-3370 | 2017-12-28 |
| 1497261515 | Wenatchee Valley Hospital | Technician/Technologist | 717 Okoma Dr, Omak, WA 98841-9593 | 2017-12-27 |
| 1295264711 | Wenatchee Valley Hospital | Case Management | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2017-06-08 |
| 1275875379 | Wenatchee Valley Hospital | Durable Medical Equipment & Medical Supplies | 303 Cottage Ave, Cashmere, WA 98815-1037 | 2013-03-27 |
| 1689916819 | Wenatchee Valley Hospital | Clinical Medical Laboratory | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2013-03-26 |
| 1275875320 | Wenatchee Valley Hospital | Durable Medical Equipment & Medical Supplies | 1517 Main St, Oroville, WA 98844 | 2013-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WENATCHEE VALLEY HOSPITAL | 820 N Chelan Ave, Wenatchee, WA 98801-2028 |
| Street Address |
840 E HILL AVE |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539256 | Kimberlee Elizabeth Poole | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2005-06-23 |
| 1366041188 | Breanne Mcintyre | Dietitian, Registered | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2020-10-22 |
| 1164036224 | Jennipher Colas | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2020-09-04 |
| 1609431709 | Andrew James Nielsen | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-05-03 |
| 1669931705 | Michael Johnson | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-03-18 |
| 1609340074 | Reaghan Kathleen Siebein | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-01-18 |
| 1578036315 | Rachel M Ebeling | Counselor | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-01-04 |
| 1891267951 | Darren Scott Trofibio | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2018-12-28 |
| 1083166813 | Braeden R Cook | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2016-10-27 |
| 1942650437 | Kelley L Drayer | Counselor | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1063435998 | Parkview Pediatrics Inc | Clinic/Center | 615 S Division St, Moses Lake, WA 98837-3800 | 2006-07-25 |
| 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 |
| 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 |
| 1780897074 | Jefferson County Public Hospital District No 2 | Clinic/Center | 294843 State Highway 101, Quilcene, WA 98376 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
Please comment or provide details below to improve the information on WENATCHEE VALLEY HOSPITAL.
| 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.