NPIMap

Organization Active NPI

Private Healthcare Facilities

  • Birthing Clinic/Center
  • Goldendale, WA
National Provider Identifier
1043789613
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
PRIVATE HEALTHCARE FACILITIES
Practice address
1040 E Broadway St Ste B
Goldendale, WA 98620-9154
Phone
(866) 996-2340
NPI assigned
Nov 13, 2018
Organization subpart
Yes
Parent organization
PRIVATE HEALTHCARE FACILITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Authorized official

Name
Ms. Priscilla Hollingsworth
Title
Office Staff
Phone
(866) 996-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

1040 E Broadway St Ste B
Goldendale, WA 98620-9154

Mailing address

902 Kitty Hawk Rd # 170487
Universal City, TX 78148-3825
Phone (866) 996-2340

National Provider Directory

National Provider Directory
Tax ID family
Private Healthcare Facilities196 organizations share this tax ID, including this one
Part of
Private Healthcare Facilities

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1040 E Broadway St
Ste B
Goldendale, WA 98620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1043789613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD # 170487",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483825",
            "telephone_number": "866-996-2340",
            "fax_number": "888-329-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E BROADWAY ST STE B",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209154",
            "telephone_number": "866-996-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HEALTHCARE FACILITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIVATE HEALTHCARE FACILITIES",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "866-996-2340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.