Active NPI
Wasco County Nursing Care Inc
- Skilled Nursing Facility
- The Dalles, OR
National Provider Identifier
1124181987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 385049
- Legal business name
- WASCO COUNTY NURSING CARE INC
- Doing business as
- Columbia Basin Care Facility
- Practice address
- 1015 Webber
The Dalles, OR 97058-3586 - Phone
- (541) 296-2156
- Fax
- (541) 298-1528
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Byers
- Title
- Chairman
- Phone
- (541) 296-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 385049 | OR | Primary |
Addresses
Primary practice location
1015 Webber
The Dalles, OR 97058-3586
Mailing address
1015 Webber
The Dalles, OR 97058-3586
Phone (541) 296-2156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801092 | Medicaid | OR | |
| 4580163 | Medicaid | WA |
Other names 1
- Columbia Basin Care Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030124000011 | OR | Part A Provider - Skilled Nursing Facility | 9537077235 | Practice locations: The Dalles, OR |
Skilled nursing facility certification: CCN 385049
- Legal name
- WASCO COUNTY NURSING CARE, INC.
- Doing business as
- COLUMBIA BASIN CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Aug 30, 2024
- Beds
- 90
- Ownership / control type
- City/County
- Multi-facility organization
- CLATSOP CARE CENTER HEALTH DISTRICTR
- Organization structure
- Corporation
- Incorporated
- Mar 11, 1997 in OR
- Enrollment address
- 1015 Webber St
The Dalles, OR 97058-3586 - Nursing home name
- COLUMBIA BASIN CARE FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Columbia Basin Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 90
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
1015 Webber St
The Dalles, OR 97058
Phone (541) 296-2156
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Sue Snyder | Operational/Managerial Control | Feb 1, 2015 | |
| David Michael Courtney | Corporate Officer | Mar 11, 1997 | 100% |
| Linda L Trautz | Corporate Officer | Mar 1, 2018 | 100% |
| Aubree L Olmstead | Corporate Director | Jun 13, 2016 | 100% |
| Linda Billette Omeg | Corporate Officer | Mar 11, 1997 | 100% |
| Wasco County Nursing Care, Inc. | 5% Or Greater Direct Ownership Interest | Mar 11, 1997 | 100% |
| Operational/Managerial Control | Jul 1, 1997 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- The Dalles, OR
- NPI 1902824626
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124181987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 WEBBER",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583586",
"telephone_number": "541-296-2156",
"fax_number": "541-298-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 WEBBER",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583586",
"telephone_number": "541-296-2156",
"fax_number": "541-298-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASCO COUNTY NURSING CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BYERS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "541-296-2000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "385049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "801092",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4580163",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Columbia Basin Care Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.