NPIMap

Organization Active NPI

Pend Oreille County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Newport, WA
National Provider Identifier
1124159900
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
264000780-001-0002 Issued in WA
Legal business name
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing business as
Family Medicine Newport
Practice address
100 S Scott
Newport, WA 99156
Phone
(509) 447-2441
Fax
(509) 447-0456
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Tom Wilbur
Title
Ceo
Phone
(509) 447-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 264000780-001-0002 WA Primary

Addresses

Primary practice location

100 S Scott
Newport, WA 99156

Mailing address

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Other identifiers 3

IdentifierTypeStateIssuer
7113962MedicaidWA
805262500MedicaidID
7109184MedicaidWA

Other names 1

  • Family Medicine Newport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1124159900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441",
            "fax_number": "509-447-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SCOTT",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "99156",
            "telephone_number": "509-447-2441",
            "fax_number": "509-447-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-447-2441"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": "264000780-001-0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113962",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805262500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109184",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Newport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.