NPIMap

Organization Active NPI

Yakima Valley Memorial Hospital Association

Doing business as MultiCare Yakima Memorial Hospital

  • General Acute Care Hospital
  • Yakima, WA
National Provider Identifier
1053373480
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-058 Issued in WA
Legal business name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MultiCare Yakima Memorial Hospital
Practice address
2811 Tieton Dr
Yakima, WA 98902-3761
Phone
(509) 575-8000
Fax
(509) 574-5800
NPI assigned
Apr 3, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 3500436 WA
General Acute Care Hospital 282N00000X H-058 WA Primary

Addresses

Primary practice location

2811 Tieton Dr
Yakima, WA 98902-3761

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Yakima, WA 98415-0299

Other names 1

  • MultiCare Yakima Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080226000177 WA Part A Provider - Hospital 5698661890 Practice locations: Yakima, WA; Union Gap, WA; Selah, WA
O20120426000656 WA Part A Provider - Hospital 5698661890 Practice locations: Yakima, WA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1053373480. Details of each certification follow.

Hospital certification: CCN 500036

Legal name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
YAKIMA VALLEY MEMORIAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 25, 2025
Beds
218
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1944 in WA
Enrollment address
2811 Tieton Dr
Yakima, WA 98902-3761
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 50S036

Legal name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Organization structure
CorporationNon-profit
Incorporated
Jun 22, 1950 in WA
Enrollment address
2811 Tieton Dr
Yakima, WA 98902-3761
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Yakima Valley MemorialCCN 500036 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0638412Multicare Yakima Memorial Hospital Laboratory2811 Tieton Drive, Yakima, WA 98902AccreditationApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Yakima Valley McAre 15010 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
William G Robertson Individual Corporate OfficerCeo Dec 4, 2014
W-2 Managing EmployeeCeo Dec 4, 2014
Corporate Officer Dec 4, 2014
Jason Thompson Individual Corporate DirectorBoard Member Mar 27, 2024
Laura Armstrong Individual Corporate DirectorBoard Member May 2, 2024
Leslie Dale Sowell Individual Corporate DirectorBoard Member Oct 1, 2012
Corporate Director Oct 1, 2012
Maribel Jimenez Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate Director Jan 1, 2018
John Wiborg Individual Corporate DirectorBoard Member Apr 18, 2001
Corporate Director Apr 18, 2001
Tariq Salam Individual Corporate DirectorBoard Member Nov 1, 2020
W-2 Managing EmployeePhysician Nov 1, 2020
Corporate Director Nov 1, 2020
W-2 Managing Employee Nov 1, 2020
James Gyeong-Jin Lee Individual Corporate OfficerEvp and Cfo Jun 1, 2022
W-2 Managing EmployeeEvp & Cfo Jun 1, 2022
Corporate Officer Jun 1, 2022
W-2 Managing EmployeeExec VP & Cfo Jun 1, 2022
Florence Chang Individual Corporate OfficerPresident Jan 1, 2015
W-2 Managing EmployeePresident Jan 1, 2015
Corporate Officer Apr 1, 2015
W-2 Managing EmployeePresident Apr 1, 2015
Robin J Thomashauer Individual Corporate DirectorBoard Member Nov 1, 2020
Corporate Director Nov 1, 2020
Janine Terrano Individual Corporate DirectorBoard Member Dec 4, 2014
Corporate Director Dec 4, 2014
Russell Stockdale Individual Corporate DirectorBoard Member Oct 28, 2024
Frank Tombari Individual Corporate DirectorBoard Member Jan 28, 2022
Corporate Director Jan 28, 2022
Deedee Walkey Individual Corporate DirectorBoard Member Oct 1, 2012
Corporate Director Oct 1, 2012
Yakima Valley Memorial Hospital Association Organization, Yakima, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 20, 2007 100%
David Hargreaves Individual Corporate OfficerVice-Chairman Feb 1, 2017
Corporate DirectorBoard Member Jan 1, 2014
Lori Arviso Alvord Individual Corporate DirectorBoard Member May 2, 2024
Carsten Beith Individual Corporate DirectorBoard Member Oct 20, 2025
Sally Leighton Individual Corporate DirectorBoard Member Oct 1, 2012
Corporate Director Oct 1, 2012
Gail Weaver Individual Corporate DirectorBoard Member Jan 1, 2014
Shelby Clark Individual Corporate DirectorBoard Member Jan 1, 2026
Multicare Health System Organization, Tacoma, WA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Joanna Monroe Individual Corporate DirectorBoard Member Mar 27, 2024
John Desch Individual Corporate DirectorBoard Member Jan 1, 2026
Patrick Oshie Individual Corporate DirectorBoard Member Nov 1, 2021
Corporate Director Nov 1, 2021
Robert M Williams Individual Corporate DirectorBoard Member Apr 19, 2022
Corporate Director Apr 19, 2022
Alberto Isiordia Individual Corporate DirectorBoard Member Jan 1, 2026
Stephen M Rupp Individual Corporate Director May 1, 2018
Cynthia Juarez Individual Corporate Director Jun 26, 2019
Doug Ellison Individual Corporate Director Jan 1, 2023
Robert Yost Individual Corporate Director Sep 20, 2006
Tara Perry Individual Corporate Director Aug 25, 2021
Duane R Rossman Individual Corporate Director Jan 1, 2022
Mirna Ramos-Diaz Individual Corporate Director Mar 1, 2022

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Memorial Home Care ServicesYakima, WA, CCN 507028 Home health agency 5% Or Greater Direct Ownership Interest Apr 1, 1994
Memorial Home Care / Hospice ServicesYakima, WA, CCN 501531 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 126

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 126

Affiliated clinicians 682

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 682

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1053373480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-575-8000",
            "fax_number": "509-574-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WA",
            "license": "3500436",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "H-058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MultiCare Yakima Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.