COLUMBIA COUNTY HOSPITAL DISTRICT (NPI# 1659458610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659458610 |
| Entity Type | Organization |
| Organization Name | COLUMBIA COUNTY HOSPITAL DISTRICT |
| Other Organization Name | BOOKER REST HOME SNF |
| Practice Address |
1012 South Third Street Dayton WA 99328 |
| Practice Telephone | 5093823212 |
| Practice Fax Number | 5093823217 |
| Mailing Telephone | 5093822531 |
| Mailing Fax Number | 5093823205 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | MRS. CHERYL A. SKIFFINGTON (CFO) |
| Authorized Official Telephone | 5093822531 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBIA COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | H141 | WA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1045130 | 05 |
| Other Name | Type Code |
|---|---|
| Booker Rest Home SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215018346 | Columbia County Hospital District | Clinic/Center | 235 Main Street, Waitsburg, WA 99361 | 2006-10-17 |
| 1134128911 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2005-07-14 |
| 1861691917 | Columbia County Hospital District | General Acute Care Hospital | 1012 S 3rd St, Dayton, WA 99328-1606 | 2007-07-17 |
| 1932286077 | Columbia County Hospital District | Medicare Defined Swing Bed Unit | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1518044551 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| Street Address |
1012 SOUTH THIRD STREET |
| City | DAYTON |
| State | WA |
| Zip Code | 99328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128911 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2005-07-14 |
| 1619454030 | Tasha L Willoughby | Counselor | 1012 South Third Street, Dayton, WA 99328 | 2018-07-27 |
| 1821500299 | Bruce Wayne Pollard | Social Worker | 1012 South Third Street, Dayton, WA 99328 | 2017-10-25 |
| 1811307382 | Kimberly Greene | Speech-Language Pathologist | 1012 South Third Street, Dayton, WA 99328 | 2014-05-05 |
| 1689841892 | Rebekah R Gustin | Occupational Therapist | 1012 South Third Street, Dayton, WA 99328 | 2008-05-15 |
| 1932286077 | Columbia County Hospital District | Medicare Defined Swing Bed Unit | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1518044551 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1023193828 | Kim Irene Emery | Physician Assistant | 1012 South Third Street, Dayton, WA 99328 | 2006-10-27 |
| 1093732182 | Kurt E Frauenpreis | Family Medicine | 1012 South Third Street, Dayton, WA 99328 | 2006-07-16 |
| 1184657876 | Lewis D Neace | Emergency Medicine | 1012 South Third Street, Dayton, WA 99328 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736153 | County of Columbia | Public Health or Welfare | 1002 S 3rd Street, Ste 2, Dayton, WA 99328 | 2006-10-20 |
| 1265441158 | Normond J Passmore | Dentist | 270 E Main St, Dayton, WA 99328 | 2006-08-07 |
| 1043298102 | Columbia County Fire Dist 3 | Ambulance | 206 W Main St, #2, Dayton, WA 99328-1230 | 2006-01-08 |
| 1942363106 | Lois Charlene Mills | Massage Therapist | 109 N. Second Street, Dayton, WA 99328-1308 | 2006-12-19 |
| 1487633863 | Kathleen A Casseday | Nurse Practitioner | 112 N 2nd St, Dayton, WA 99328-1309 | 2006-01-12 |
| 1922040526 | Blue Mountain Counseling of Columbia County | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2006-06-11 |
| 1740808369 | Rylie Dixon | Counselor | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-07-09 |
| 1255961447 | Michelle Fulbright | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-01-16 |
| 1164088464 | Teresa Rae | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2019-05-13 |
| 1285100305 | Margaret Gutierrez | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-10-16 |
| Find all providers in zip 99328 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780941484 | Charles E. Garrett Jr | Skilled Nursing Facility | 2351 Wienburg Dr, Dayton, OH 45439-7944 | 2012-04-18 |
| 1083930762 | Stonespring Transitional Care Center, LLC | Skilled Nursing Facility | 4000 Singing Hills Blvd, Dayton, OH 45414 | 2010-04-20 |
| 1952542532 | Dayton Medical Investors, LLC | Skilled Nursing Facility | 10055 Rhea County Hwy, Dayton, TN 37321-7937 | 2009-03-12 |
| 1861566564 | Extendicare Homes, Inc. | Skilled Nursing Facility | 3650 Klepinger Rd, Dayton, OH 45416-1919 | 2006-11-17 |
| 1992877062 | Dayton Care, LLC | Skilled Nursing Facility | 320 Albany St, Dayton, OH 45408-1402 | 2006-11-14 |
| 1033201611 | Graceworks Lutheran Services | Skilled Nursing Facility | 6451 Far Hills Ave, Dayton, OH 45459-2725 | 2006-09-29 |
| 1366558157 | Harborside of Dayton Limited Partnership | Skilled Nursing Facility | 323 Forest Ave, Dayton, OH 45405-4599 | 2006-08-22 |
| 1114932852 | Mary Scott Nursing Home, Inc. | Skilled Nursing Facility | 3109 Campus Drive, Dayton, OH 45406 | 2006-07-30 |
| 1154335305 | Hcf of Crestview, Inc. | Skilled Nursing Facility | 4381 Tonawanda Trl, Dayton, OH 45430-1961 | 2006-07-27 |
| 1083656383 | Grafton Associates Limited Partnership Ptr | Skilled Nursing Facility | 405 Grafton Avenue, Dayton, OH 45406-5202 | 2006-06-12 |
| Find all providers in DAYTON | ||||
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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.