NPIMap

Organization Active NPI

Whidbey Island Public Hospital District

Doing business as WhidbeyHealth Womens Care

  • Rural Health Clinic/Center
  • Coupeville, WA
National Provider Identifier
1013493600
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Doing business as
WhidbeyHealth Womens Care
Practice address
77 N Main St
Coupeville, WA 98239-9556
Phone
(360) 678-0831
Fax
(360) 678-0583
NPI assigned
Jul 17, 2018
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Garth MillerNPI 1801082102
Title
Coo
Phone
(360) 678-7656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

77 N Main St
Coupeville, WA 98239-9556

Mailing address

101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-0831

Other practice location 1

201 NE Birch St.
Coupeville, WA 98239-3129
Phone (360) 678-0831

Other names 1

  • WhidbeyHealth Womens Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180925001445 WA Part A Provider - Rural Health Clinic 1658280680 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coupeville, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013493600. Details of each certification follow.

Rural health clinic certification: CCN 508583

Legal name
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Doing business as
WHIDBEYHEALTH PRIMARY CARE - COUPEVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 21, 2018
Last certification
Dec 21, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
107 S Main St
Ste D101
Coupeville, WA 98239-3547
Related CCNs
501339

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Whidbey Island Public Hospital District

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Whidbey Island Public Hospital District Organization, Coupeville, WA Other Apr 1, 1969 100%
Curtis Andrew Shumate Individual Corporate DirectorExecutive Director of Nursing Feb 1, 2022
W-2 Managing EmployeeExecutive Director of Nursing Feb 22, 2010
Kirk P Gasper Individual Corporate OfficerCommissioner Dec 2, 2025
Corporate DirectorCommissioner Dec 2, 2025
Garth a Miller Individual Corporate OfficerChief Operations Officer Sep 23, 2021
Corporate DirectorChief Operations Officer Sep 23, 2021
W-2 Managing Employee Aug 1, 2018
Katherine Nelson Individual Corporate OfficerCommissioner Feb 23, 2026
Corporate DirectorCommissioner Feb 23, 2026
Mark Ethan Borden Individual Corporate OfficerCommissioner Jan 1, 2026
Corporate DirectorCommissioner Jan 1, 2026
Marion Louise Jouas Individual Corporate DirectorCommissioner Dec 14, 2023
Marcy L Shimada Individual Corporate OfficerCommissioner Mar 24, 2026
Corporate DirectorCommissioner Mar 24, 2026
Kirsten M Andrews Individual Corporate DirectorMedical Director Jan 1, 2026
Paul Rogers Individual Corporate OfficerCfo Sep 16, 2022
Corporate DirectorCfo Sep 16, 2022
Nathan Staggs Individual Corporate OfficerCeo Mar 22, 2023
Corporate DirectorCeo Mar 22, 2023

Owners & managing parties with NPI records 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1013493600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393413",
            "telephone_number": "360-678-0831",
            "fax_number": "360-678-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399556",
            "telephone_number": "360-678-0831",
            "fax_number": "360-678-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NE Birch St.",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393129",
            "country_code": "US",
            "telephone_number": "360-678-0831",
            "fax_number": "360-678-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "360-678-7656"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Womens Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WhidbeyHealth Womens Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.