NPIMap

Organization Active NPI

Kadlec Regional Medical Center

  • Clinic/Center
  • Kennewick, WA
National Provider Identifier
1063967933
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KADLEC REGIONAL MEDICAL CENTER
Practice address
4008 W 27TH Ave
Suite 103
Kennewick, WA 99337-2484
Phone
(509) 942-2144
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary for Enrollment
Phone
(425) 358-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4008 W 27TH Ave
Suite 103
Kennewick, WA 99337-2484

Mailing address

888 Swift Blvd
Richland, WA 99352-3514

Other names 1

  • Kadlec Regional Medical Center - Express Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000035 WA Part B Supplier - Clinic/Group Practice 9739098617 Receives reassigned benefits from 490 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richland, WA; Walla Walla, WA; West Richland, WA; Kennewick, WA; Pasco, WA

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

5506 Road 68
Pasco, WA 99301
Phone (509) 547-1789

1601 George Washington Way
Richland, WA 99354
Phone (509) 943-2605

1100 Goethals Dr
Ste D
Richland, WA 99352
Phone (509) 942-3057

780 Swift Blvd
Ste 101
Richland, WA 99352
Phone (509) 942-3060

3950 Keene Rd
West Richland, WA 99353
Phone (509) 942-3130

Practitioners & affiliated clinicians

Practitioners 100

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

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1063967933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 W 27TH AVE",
            "address_2": "SUITE 103",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372484",
            "telephone_number": "509-942-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADLEC REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kadlec Regional Medical Center - Express Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kadlec Regional Medical Center - Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.