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Organization Active NPI

Public Hospital Dist No 1 Skagit

  • Rural Health Clinic/Center
  • Darrington, WA
National Provider Identifier
1013064575
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
MTSP.FS.00001468 Issued in WA
Legal business name
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Practice address
1190 Riddle Street
Darrington, WA 98241
Phone
(360) 436-1055
Fax
(360) 436-0146
NPI assigned
Jan 5, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tamara Cesena
Title
Chief Financial Officer
Phone
(360) 445-8512

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 377

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Rural health clinic certification: CCN 508509

Legal name
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Doing business as
SKAGIT REGIONAL HEALTH - DARRINGTON FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 14, 1997
Last certification
Apr 18, 2019
Ownership / control type
Non-profit – church related
Most recent change of ownership
Jun 1, 2016 (1 total)
Organization structure
OtherProprietary
Incorporated
Nov 15, 1954 in WA
Enrollment address
1190 Riddle St
Darrington, WA 98241-7722
Related CCNs
500060

Facilities connected through Provider of Services related, parent or unit certification numbers.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309001059 WA Part B Supplier - Clinic/Group Practice 6800793522 Receives reassigned benefits from 550 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Vernon, WA; Oak Harbor, WA; Anacortes, WA; Stanwood, WA; Arlington, WA; Camano Island, WA; Darrington, WA; Everett, WA…
O20160603001680 WA Part A Provider - Rural Health Clinic 6800793522 Practice locations: Darrington, WA

All disclosed owners & managing parties 8

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Peter a Browning Individual Corporate OfficerCommissioner Jun 1, 2016
Jolanda Barnett Individual W-2 Managing EmployeeAssistant Administrator Jun 1, 2016
Jeffrey Miller Individual Corporate DirectorCommissioner Mar 1, 2012
Al Dennis Individual Corporate OfficerCommissioner Jun 1, 2016
Bruce Lisser Individual Corporate DirectorCommissioner Mar 1, 2012
Public Hospital Dist No 1 Skagit Organization, Darrington, WA 5% Or Greater Direct Ownership Interest Jun 1, 2016 100%
Brian Ivie Individual W-2 Managing EmployeeChief Executive Officer Nov 1, 2017
Tamara Lynn Cesena Individual W-2 Managing EmployeeChief Financial Officer Jan 9, 2023

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Skagit Valley HospitalMount Vernon, WA, CCN 500003 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2004
Cascade Valley HospitalArlington, WA, CCN 500060 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2016
Hospice of the NorthwestMount Vernon, WA, CCN 501505 Hospice 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (50%)		 Apr 1, 2007
Apr 1, 2007
Camano Community Health ClinicCamano Island, WA, CCN 508502 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 2004

Change-of-ownership history 2

Medicare enrollment files
DateEventCounterparty
Jun 1, 2016 Change of OwnershipThis provider was the buyer Cascade Valley Darrington ClinicCCN 508509, WA, NPI 1013064575
Jun 1, 2016 Change of OwnershipThis provider was the seller Skagit Regional Health - Darrington Family MedicineCCN 508509, WA, NPI 1013064575

National Provider Directory

National Provider Directory

Locations

16410 Smokey Point Blvd
#200
Arlington, WA 98223
Phone (360) 653-4569

903 Medical Center Dr
Ste 300
Arlington, WA 98223
Phone (360) 435-0242

7530 204th St NE
Arlington, WA 98223
Phone (360) 435-7337

9528 State Ave
Marysville, WA 98270
Phone (360) 653-4100

819 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-9757

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X MTSP.FS.00001468 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

1190 Riddle Street
Darrington, WA 98241

Mailing address

PO Box 103510
Pasadena, CA 91189-3570
Phone (360) 814-7575

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2058875MedicaidWA
354488OtherWALABOR & INDUSTRIES

Other names 3

NPPES NPI Registry
  • Skagit Regional Health - Darrington Family Medicine Doing business as
  • Skagit Regional Health Other name
  • Skagit Regional Health - Darrington RHC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1013064575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103510",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893570",
            "telephone_number": "360-814-7575",
            "fax_number": "360-445-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 RIDDLE STREET",
            "city": "DARRINGTON",
            "state": "WA",
            "postal_code": "98241",
            "telephone_number": "360-436-1055",
            "fax_number": "360-436-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DIST NO 1 SKAGIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CESENA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-445-8512"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": "MTSP.FS.00001468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058875",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "354488",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skagit Regional Health - Darrington Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skagit Regional Health - Darrington Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skagit Regional Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Skagit Regional Health - Darrington RHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Darrington, WA

Sources for this page

Verify at the official NPI Registry.