Wenatchee Valley Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WENATCHEE VALLEY HOSPITAL

Practice address

117 S. Chelan Ave.
Waterville, WA 98858

Phone

(509) 745-8461

NPI assigned

Oct 19, 2012

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WENATCHEE VALLEY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Glenn Adams

Title

Coo

Phone

(509) 663-8711

Specialties & licenses 2

Addresses

Other names 1

• Confluence Health Waterville Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Wenatchee Valley Hospital

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Central Washington Health Services Association

  dba Confluence Health Waterville Clinic

  • Rural Health Clinic/Center
  • Waterville, WA
  • NPI 1306566070

  Sold to, 2023-07-01

  CMS change of ownership

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1184977704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S. CHELAN AVE.",
            "city": "WATERVILLE",
            "state": "WA",
            "postal_code": "98858",
            "telephone_number": "509-745-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENATCHEE VALLEY HOSPITAL",
        "enumeration_date": "2012-10-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-663-8711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "048006606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confluence Health Waterville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Confluence Health Waterville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Dawn Prpich, LMP
• June Elizabeth Skinner, CNA
• Adolfo Angel Vela-Pedraza
• Margaret Viebrock
• Waterville School District

• Rural Health Clinic/Center in Waterville, WA
• Providers in Waterville, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.