NPIMap

Organization Active NPI

Grant County Public Hospital District #2

  • Critical Access Hospital
  • Quincy, WA
National Provider Identifier
1164512083
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H129 Issued in WA
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT #2
Practice address
908 Tenth Avenue SW
Quincy, WA 98848
Phone
(509) 787-3531
Fax
(509) 787-2016
NPI assigned
Oct 13, 2006
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Glenda L Bishop
Title
Ceo
Phone
(509) 787-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H129 WA Primary

Addresses

Primary practice location

908 Tenth Avenue SW
Quincy, WA 98848

Mailing address

908 Tenth Avenue SW
Quincy, WA 98848
Phone (509) 787-3531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000156 WA Part A Provider - Critical Access Hospital 8921919077 1 other NPI on this enrollment
Practice locations: Quincy, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164512083. Details of each certification follow.

Hospital certification: CCN 501320

Legal name
GRANT COUNTY HOSPITAL DISTRICT NO. 2
Doing business as
QUINCY VALLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2002
Last certification
Aug 25, 2021
Beds
29 (25 certified)
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
in WA
Enrollment address
908 10TH Ave SW
Quincy, WA 98848-1376
Other Hospital Practice Location

Other NPIs with the same Medicare PAC ID 2

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
Quincy Valley Medical CenterCCN 501320 · All quality measures
Type
Critical Access 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
Quincy Valley Ambulance6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Glenda L Bishop Individual Contracted Managing EmployeeCeo Jul 1, 2017 100%
Corporate OfficerCeo Jul 1, 2017 100%
Corporate DirectorCeo Jul 1, 2017 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quincy Valley Medical CenterQuincy, WA, CCN 503976 Rural health clinic Other Jan 1, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1164512083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TENTH AVENUE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "98848",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TENTH AVENUE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "98848",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-787-5368"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, WA

Sources for this page

Verify at the official NPI Registry.