NPIMap

Organization Active NPI

Public Hospital Dist No 1 Skagit

Doing business as Cascade Valley Hospital

  • General Acute Care Hospital
  • Arlington, WA
National Provider Identifier
1073566246
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
FS60655126 Issued in WA
Legal business name
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Doing business as
Cascade Valley Hospital
Practice address
330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone
(360) 435-2133
Fax
(360) 435-0513
NPI assigned
May 18, 2006
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
Ms. Jola M Barnett
Title
Assistant Administrator- Business S
Phone
(360) 618-7812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 311 001 925 WA
General Acute Care Hospital 282N00000X FS60655126 WA Primary

Addresses

Primary practice location

330 S Stillaguamish Ave
Arlington, WA 98223-1642

Mailing address

PO Box 103510
Pasadena, CA 91189-3570
Phone (360) 814-7575

Other identifiers 2

IdentifierTypeStateIssuer
355068OtherWALABOR & INDUSTRIES
2069925MedicaidWA

Other names 1

  • Cascade Valley Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420000630 WA Part A Provider - Hospital 6800793522 Practice locations: Arlington, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073566246. Details of each certification follow.

Hospital certification: CCN 500060

Legal name
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Doing business as
CASCADE VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 3, 2025
Beds
48
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jun 1, 2016 (1 total)
Organization structure
OtherProprietary
Incorporated
Nov 15, 1954 in WA
Enrollment address
330 S Stillaguamish Ave
Arlington, WA 98223-1642
Other Hospital Practice Location
Hospital subgroups
General

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Cascade Valley HospitalCCN 500060 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Public Hospital District No26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Frei Burton Individual Corporate OfficerCommisioner Jan 1, 2019
Peter a Browning Individual Corporate OfficerCommissioner Jan 1, 2017
Gary Shand Individual Corporate OfficerCommissioner Nov 1, 2017
Jolanda Barnett Individual W-2 Managing EmployeeAssistant Administrator Jun 1, 2016
Jeffrey Miller Individual Corporate DirectorCommissioner Mar 1, 2012
Dale Ragan Individual Corporate OfficerCommissioner Jan 1, 2020
Bruce Lisser Individual Corporate DirectorCommissioner Mar 1, 2012
Public Hospital Dist No 1 Skagit Organization, Arlington, 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
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
Skagit Regional Health - Darrington Family MedicineDarrington, WA, CCN 508509 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2016

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.

Practitioners & affiliated clinicians

Practitioners 18

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 18

Affiliated clinicians 280

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

View all 280

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1073566246",
    "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": "330 S STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231642",
            "telephone_number": "360-435-2133",
            "fax_number": "360-435-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DIST NO 1 SKAGIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JOLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR- BUSINESS S",
        "authorized_official_telephone_number": "360-618-7812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "311 001 925",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "FS60655126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "355068",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069925",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.