NPIMap

Organization Active NPI

Public Hospital District No 4 King County Washington

Doing business as Snoqualmie Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Snoqualmie, WA
National Provider Identifier
1194929471
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H-195 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
Doing business as
Snoqualmie Valley Hospital
Practice address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone
(425) 831-2000
Fax
(425) 831-2361
NPI assigned
Jun 12, 2007
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Barbi Donovan
Title
MSS & Pe Manager
Phone
(425) 831-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H-195 WA Primary

Addresses

Primary practice location

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200

Mailing address

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2000

Other names 1

  • Snoqualmie Valley Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000784 WA Part A Provider - Critical Access Hospital 6002700861 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Snoqualmie, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194929471. Details of each certification follow.

Hospital certification: CCN 50Z338

Legal name
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
Doing business as
SNOQUALMIE VALLEY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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.

National Provider Directory

National Provider Directory
Tax ID family
Public Hospital District No 4 King County Washington7 organizations share this tax ID, including this one
Part of
Public Hospital District No 4 King County Washington

Other organizations with this tax ID 6

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

Locations

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

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.

NameRoleSinceShare
Renee K Jensen Individual Corporate OfficerCeo Nov 30, 2020 5%
W-2 Managing EmployeeCeo Nov 30, 2020 4%
Karyn Denton Individual Corporate OfficerCoo Jun 19, 2019 5%
W-2 Managing EmployeeCoo Jun 19, 2019 5%
Public Hospital District No 4 King County Washington Organization, Snoqualmie, WA Other Jan 1, 1973 100%
James Patrick Ritter Individual Corporate OfficerCfo Dec 1, 2019 5%
W-2 Managing EmployeeCfo May 1, 2014 5%
Barbi Donovan Individual Corporate DirectorDirector Medical Staff Services Dec 1, 2005 5%
W-2 Managing EmployeeDirector Medical Staff Services Dec 1, 2005 5%
Rachel E Thompson Individual Corporate OfficerCmo Feb 1, 2021 5%
W-2 Managing EmployeeCmo Feb 1, 2021 5%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Snoqualmie Valley HospitalSnoqualmie, WA, CCN 501338 Hospital Other (100%) Dec 31, 2005
Snoqualmie Valley Hospital ClinicSnoqualmie, WA, CCN 508579 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Snoqualmie Ridge Medical ClinicSnoqualmie, WA, CCN 508580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

Affiliated clinicians 7

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1194929471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2000",
            "fax_number": "425-831-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "BARBI",
        "authorized_official_title_or_position": "MSS & PE MANAGER",
        "authorized_official_telephone_number": "425-831-2321"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WA",
            "license": "H-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snoqualmie Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Snoqualmie Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.