NPIMap

Organization Active NPI

Public Hospital Dist No 1 Skagit

Doing business as Skagit Regional Health - Darrington Family Medicine

  • 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
Doing business as
Skagit Regional Health - Darrington Family Medicine
Practice address
1190 Riddle Street
Darrington, WA 98241
Phone
(360) 436-1055
Fax
(360) 436-0146
NPI assigned
Jan 5, 2007
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X MTSP.FS.00001468 WA Primary
Family Medicine Physician 207Q00000X

Addresses

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

IdentifierTypeStateIssuer
2058875MedicaidWA
354488OtherWALABOR & INDUSTRIES

Other names 3

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

Medicare participation

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

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013064575. Details of each certification follow.

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.

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Locations

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

875 Wesley St
Ste 130
Arlington, WA 98223
Phone (360) 435-6525

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

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

110 N Laventure Rd
Ste C
Mount Vernon, WA 98273
Phone (360) 399-7700

Ownership & related parties

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 4

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

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Change-of-ownership history 2

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

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": "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
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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.