Organization Active NPI

SHC Medical Center Toppenish

  • Psychiatric Hospital Unit
  • Toppenish, WA
National Provider Identifier
1083132229
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
SHC MEDICAL CENTER TOPPENISH
Practice address
502 W 4TH Ave
Toppenish, WA 98948-1616
Phone
(509) 456-6193
Fax
(509) 865-3105
NPI assigned
Sep 8, 2017
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SHC MEDICAL CENTER TOPPENISHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mathew Mathiesen
Title
Ceo
Phone
(509) 837-3090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

502 W 4TH Ave
Toppenish, WA 98948-1616

Mailing address

PO Box 719
Sunnyside, WA 98944-0719

National Provider Directory

National Provider Directory
Tax ID family
SHC Medical Center Toppenish3 organizations share this tax ID, including this one
Part of
SHC Medical Center Toppenish

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1083132229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 4TH AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481616",
            "telephone_number": "509-456-6193",
            "fax_number": "509-865-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC MEDICAL CENTER TOPPENISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHC MEDICAL CENTER TOPPENISH",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MATHIESEN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-837-3090"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.