Whidbey Island Public Hospital District
Organization Active NPI Critical Access Hospital · Coupeville, WA
NPI 1164549549 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1164549549
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 000092 (WA)
- Legal business name
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
- Practice address
- 101 N Main St
Coupeville, WA 98239-3413 - Phone
- (360) 678-5151
- NPI assigned
- Mar 23, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Authorized official
- Name
- Garth A Miller
- Title
- Coo
- Phone
- (360) 678-7656
Owners & managing parties with NPI records 13
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 37
Related certifications (CCN) 7
Practitioners 2
Affiliated clinicians 336
-
Sujata T Agnani, M.D.
-
Ali Al-Hilli, M.D., MSC, FACP
-
Rebecca Albright, ARNP
-
Steven Benjamin Alcocer, PA-C
-
Wendi Diane Alexander, ARNP
-
Rachel P Allen, D.O.
-
Christina Lynn Amendolare, AGPCNP
-
Kirsten Marie Andrews, M.D.
-
Heather Nicole Badger, NP-C
-
Oscar V. Bailon, M.D.
-
Haley Barker, ARNP
-
Brandon Jon Barrett, M.D.
-
Vivek Bhatia, M.D., M.S.
-
Robert Gregg Billow, D.O.
-
Heather Lynne Bivens, ARNP ENP
-
Reese J Bliek, P.A.
Medicare Care Compare: Hospital
- Listed as
- Whidbeyhealth Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Hospital certification: CCN 501339
- Legal name
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
- Doing business as
- WHIDBEYHEALTH MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 31, 2005
- Last certification
- Jul 22, 2020
- Beds
- 51
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Enrollment address
- 101 N Main St
Coupeville, WA 98239-3413
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Whidbey Island Public Hospital District |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Curtis Andrew Shumate |
Corporate Director |
Feb 1, 2022 | |
| W-2 Managing Employee | Feb 22, 2010 | ||
| Kirk P Gasper |
Corporate Officer |
Dec 2, 2025 | |
| Corporate Director |
Dec 2, 2025 | ||
| Garth a Miller |
Corporate Officer |
Sep 23, 2021 | |
| Corporate Director |
Sep 23, 2021 | ||
| W-2 Managing Employee | Aug 1, 2018 | ||
| James Dean Golder |
Corporate Officer | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Mark Ethan Borden |
Corporate Officer |
Jan 1, 2026 | |
| Corporate Director |
Jan 1, 2026 | ||
| Marion Louise Jouas |
Corporate Director |
Dec 14, 2023 | |
| Jamie Canby |
Corporate Officer |
Jan 1, 2026 | |
| Corporate Director |
Jan 1, 2026 | ||
| Paul Rogers |
Corporate Officer |
Sep 16, 2022 | |
| Corporate Director |
Sep 16, 2022 | ||
| Nathan Staggs |
Corporate Officer |
Mar 22, 2023 | |
| Corporate Director |
Mar 22, 2023 | ||
| W-2 Managing Employee |
Mar 22, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071105000513 | WA | Part a Provider - Critical Access Hospital | 1658280680 |
Receives reassigned benefits from 55 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton, WA; Coupeville, WA; Oak Harbor, WA |
National Provider Directory
- Tax ID family
- North Whidbey Comm Clin
- Part of
- North Whidbey Comm Clin
Locations
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 000092 | WA | Yes |
Addresses
Primary practice location
101 N Main St
Coupeville, WA 98239-3413
Mailing address
PO Box 3603
Seattle, WA 98124-3603
Phone (360) 678-7656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15X01 | Other | WA | EMS LICENSE |
Other names
- WhidbeyHealth Ambulance
Other providers in Coupeville, WA
- Whidbey Island EMS LLC
- Whidbey Island Internal Medicine
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
- Whidbey Island Public Hospital District
All providers in Coupeville, WA · Critical Access Hospital in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.