Kennewick Public Hospital District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

MTS-2700 Issued in WA

Legal business name

KENNEWICK PUBLIC HOSPITAL DISTRICT

Doing business as

Kennewick General Hospital Home Health Care

Practice address

18 N Auburn St
Kennewick, WA 99336-3807

Phone

(509) 582-2273

Fax

(509) 586-5102

NPI assigned

Nov 16, 2006

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

KENNEWICK PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Mrs. Rebecca E Fulfs, R.N.

Title

Director

Phone

(509) 582-2273

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Kennewick General Hospital Home Health Care Doing business as

Part of

Kennewick General

Locations

Practitioners 163

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.

• Drew S Ableman, DO

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1285379867
  NPD (past)
• Mahmoud N Al-Hawamdeh, MD

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1467405340
  NPD (past)
• Sabah Altayar, M.D.

  • Family Medicine Physician
  • Richland, WA
  • NPI 1114971686
  NPD (past)
• H Pamela Anderson, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1225084486
  NPD (past)
• Nancy Elizabeth Baxter, M.D.

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1528374220
  NPD (past)
• James Walter Beck, M.D.

  • Family Medicine Physician
  • Richland, WA
  • NPI 1558308320
  NPD (past)
• Tomoko Bennett, DO

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1679033245
  NPD (past)
• Gordon Bernstein, M.D.

  • Diagnostic Radiology Physician
  • Gig Harbor, WA
  • NPI 1063515351
  NPD (past)
• Jeanne Smith Berretta, MD

  • Family Medicine Physician
  • Port Angeles, WA
  • NPI 1205979283
  NPD (past)
• John Timothy Blackwelder, M.D.

  • Diagnostic Radiology Physician
  • Walla Walla, WA
  • NPI 1457305179
  NPD (past)
• Paul W Boone Jr., M.D.

  • Family Medicine Physician
  • Monroe, WA
  • NPI 1952342974
  NPD (past)
• Rosa Borders, MD

  • General Practice Physician
  • Kennewick, WA
  • NPI 1356394019
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1184797433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363807",
            "telephone_number": "509-582-2273",
            "fax_number": "509-586-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363807",
            "telephone_number": "509-582-2273",
            "fax_number": "509-586-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEWICK PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "FULFS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-582-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "MTS-2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "9006321",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003146",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "611184000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0087974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennewick General Hospital Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennewick Kidney Disease and Hypertension Clinic, PLLC
• Kennewick Medical Investors, LLC (Life Care Center of Kennewick)
• Kennewick Memory Care LLC (Windsong at Southridge)
• Kennewick Public Health District (Kennewick General Hospital)
• Kennewick Public Health District (Kennewick General Hospital)
• Kennewick Public Hospital District (KGH Physician Clinics)
• Kennewick Public Hospital District (Kennewick General Hospital)
• Kennewick Public Hospital District
• Kennewick Radiology Group PC
• Kennewick Radiology Group, PC

• Home Health Agency in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.