NPIMap

Organization Active NPI

Enumclaw Regional Hospital Association

Doing business as St. Elizabeth Hospital

  • Critical Access Hospital
  • Enumclaw, WA
National Provider Identifier
1073674040
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H035 Issued in WA
Legal business name
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Doing business as
St. Elizabeth Hospital
Practice address
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone
(360) 802-3265
Fax
(360) 825-9046
NPI assigned
Dec 13, 2006
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Roberta Jo Wittorf
Title
VP Finance
Phone
(509) 551-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H035 WA Primary

Addresses

Primary practice location

1455 Battersby Ave
Enumclaw, WA 98022-3634

Mailing address

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (360) 802-3265

Other identifiers 1

IdentifierTypeStateIssuer
3310406MedicaidWA

Other names 1

  • St. Elizabeth Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080515000367 MA Part A Provider - Critical Access Hospital 4385532738 Practice locations: Enumclaw, WA
O20080515000423 MA Part A Provider - Critical Access Hospital 4385532738 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enumclaw, WA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1073674040. Details of each certification follow.

Hospital certification: CCN 501335

Legal name
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Doing business as
ST ELIZABETH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2004
Last certification
Feb 24, 2023
Beds
28 (5 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 1, 2007 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1947 in WA
Enrollment address
1455 Battersby Ave
St Elizabeth Hospital
Enumclaw, WA 98022-3634
Other Hospital Practice Location

Hospital certification: CCN 50Z335

Legal name
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Doing business as
ST ELIZABETH HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1947 in WA
Enrollment address
1455 Battersby Ave
St Elizabeth Hospital
Enumclaw, WA 98022-3634
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Elizabeth HospitalCCN 501335 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1450 Battersby Ave
Enumclaw, WA

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Robert Carlile Individual Corporate Director Jan 1, 2021
Diann E Puls Individual Corporate Director Jul 1, 2011
Marvin O'Quinn Individual Corporate Director Jan 1, 2021
Uli Han-Hsiang CHI Individual Corporate Director Apr 1, 2013
Gregg S Meyer Individual Corporate Director Jan 1, 2021
Franciscan Health System Organization, Tacoma, WA 5% Or Greater Direct Ownership Interest May 7, 2007
Operational/Managerial Control May 7, 2007
5% Or Greater Direct Ownership Interest May 1, 2007
Operational/Managerial Control May 1, 2007
Robert Lemon Individual Corporate Director Jan 1, 2021
David Nosacka Individual Corporate OfficerCfo Jul 5, 2021
W-2 Managing EmployeeCfo Jul 5, 2021
Corporate DirectorCfo Jul 5, 2021
Catholic Health Initiatives Organization, Englewood, CO Non-profit 5% Or Greater Direct Ownership Interest May 7, 2007
5% Or Greater Direct Ownership Interest May 1, 2007
Karen T Lee Individual Corporate Director Jan 1, 2021
John F Oppenheimer Individual Corporate Director Jan 1, 2021
David Butcherite Individual W-2 Managing EmployeeController Jul 1, 2004
Carolyn Corvi Individual Corporate Director Jan 1, 2021
Ketul J Patel Individual Corporate Officer Feb 23, 2015
W-2 Managing EmployeeCeo Feb 23, 2015
W-2 Managing Employee Feb 23, 2015
Michael a Hoffman Individual Corporate Director Jul 1, 2012
Ruth Elizabeth Goodwin Individual Corporate Director Jan 1, 2021
Dennis Joseph Hunthausen Individual Corporate Director Jul 1, 2012
Tod Hamachek Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 7

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

  • Commonspirit Washington

    dba Franciscan Pharmacy Tacoma

    • Community/Retail Pharmacy
    • Tacoma, WA
    • NPI 1346588548

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Franciscan Hospice and Palliative Care

    • Internal Medicine Physician
    • University Place, WA
    • NPI 1366472508

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba St Joseph Cardiothoracic Surgeons

    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Gig Harbor, WA
    • NPI 1821363300

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Franciscan Pharmacy and Home Medical Supply St. Joseph

    • Durable Medical Equipment & Medical Supplies
    • Tacoma, WA
    • NPI 1902986904

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba St Joseph Medical Center

    • General Acute Care Hospital
    • Tacoma, WA
    • NPI 1952309098

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Palliative Medical Services

    • Internal Medicine Physician
    • Tacoma, WA
    • NPI 1972538312

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Gregg Stephen Meyer, M.D.
    • Internal Medicine Physician
    • Lebanon, NH
    • NPI 1811997927

    Corporate Director

    CMS ownership

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 102

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

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1073674040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "360-802-3265",
            "fax_number": "360-825-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "360-802-3265",
            "fax_number": "360-825-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENUMCLAW REGIONAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "WITTORF",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "509-551-5319"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310406",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enumclaw, WA

Sources for this page

Verify at the official NPI Registry.