GRANT COUNTY PUBLIC HOSPITAL DISTRICT 5 (NPI# 1609410075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609410075 |
| Entity Type | Organization |
| Organization Name | GRANT COUNTY PUBLIC HOSPITAL DISTRICT 5 |
| Practice Address |
101 William Ave Mattawa WA 99349-0104 |
| Mailing Address |
Po Box 1581 Mattawa WA 99349-0960 |
| Practice Telephone | 5099324499 |
| Practice Fax Number | 5099325363 |
| Mailing Telephone | 0959324499 |
| Mailing Fax Number | 5099325363 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | DANA S FOX (CEO) |
| Authorized Official Telephone | 5099324499 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 5 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1699720797 | 05 |
| Other Name | Type Code |
|---|---|
| Mattawa Community Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720797 | Grant County Public Hospital District 5 | Family Medicine | 210 Government Road, Mattawa, WA 99349-0960 | 2006-05-24 |
| 1396384871 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2019-12-31 |
| 1003391848 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2018-09-27 |
| Street Address |
101 WILLIAM AVE |
| City | MATTAWA |
| State | WA |
| Zip Code | 99349-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396997086 | Elaine Marie Brewer | Massage Therapist | 210 Government Rd., Mattawa, WA 99349 | 2008-10-14 |
| 1629148440 | Arturo Rojas | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2006-11-09 |
| 1740363498 | Wahluke School District | Local Education Agency (LEA) | 411 E Saddle Mountain Drive, Mattawa, WA 99349 | 2006-10-23 |
| 1396384871 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2019-12-31 |
| 1003391848 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2018-09-27 |
| 1700314895 | Geraldine Cabero | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2017-06-01 |
| 1710232749 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2012-07-16 |
| 1053539890 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-24 |
| 1184842254 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-23 |
| 1033259064 | Columbia Basin Health Association | Pharmacist | 601 Government Way, Mattawa, WA 99349 | 2007-02-07 |
| Find all providers in zip 99349 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| 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.