NPIMap

Organization Active NPI

Ferry County Public Hospital District No 1

Doing business as Curlew Medical Clinic

  • Rural Health Clinic/Center
  • Curlew, WA
National Provider Identifier
1205988219
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing business as
Curlew Medical Clinic
Practice address
5 Kettle River Rd
Curlew, WA 99118
Phone
(509) 779-4049
Fax
(509) 779-4004
NPI assigned
Jan 18, 2007
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mr. Brian Lady
Title
Ceo
Phone
(509) 775-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

5 Kettle River Rd
Curlew, WA 99118

Mailing address

36 Klondike Rd
Republic, WA 99166-9701
Phone (509) 779-4049

Other identifiers 2

IdentifierTypeStateIssuer
7119134MedicaidWA
7033210MedicaidWA

Other names 1

  • Curlew Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000167 WA Part B Supplier - Clinic/Group Practice 0446148761 Receives reassigned benefits from 32 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Republic, WA
O20081027000299 WA Part A Provider - Rural Health Clinic 0446148761 Practice locations: Curlew, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205988219. Details of each certification follow.

Rural health clinic certification: CCN 508533

Legal name
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing business as
CURLEW MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 27, 2003
Last certification
Apr 26, 2017
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
9 Kettle River CT
Curlew, WA 99118-9680
Related CCNs
501322

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 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2275558Curlew Medical Clinic9 Kettle River Rd, Curlew, WA 99118Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

36 Klondike Rd
Republic, WA 99166
Phone (509) 775-3153

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Nancy Giddings Individual OtherBoard Member, Chair Sep 3, 2014
Ferry County Public Hospital District No 1 Organization, Republic, WA Created for acquisition 5% Or Greater Direct Ownership Interest Jan 1, 1989 100%
Jennifer Reed Individual Corporate OfficerCfo Jan 19, 2022
W-2 Managing EmployeeChief Financial Officer Jan 19, 2022
Dianne Lundgren Individual OtherBoard Member Jun 23, 2011
Jody L Jannot Individual OtherBoard Member Sep 24, 2019
Sarah Krausse Individual OtherBoard Member Jan 24, 2017
Ronald Bacon Individual Other Nov 20, 2008

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
Ferry County Memorial HospitalRepublic, WA, CCN 501322 Hospital Operational/Managerial Control Nov 20, 2007
Ferry County Memorial HospitalRepublic, WA, CCN 50Z322 Hospital Operational/Managerial Control Nov 20, 2007
Republic Medical ClinicRepublic, WA, CCN 508522 Rural health clinic Operational/Managerial Control Jan 25, 2007

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1205988219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KLONDIKE RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669701",
            "telephone_number": "509-779-4049",
            "fax_number": "509-779-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KETTLE RIVER RD",
            "city": "CURLEW",
            "state": "WA",
            "postal_code": "99118",
            "telephone_number": "509-779-4049",
            "fax_number": "509-779-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-775-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7033210",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curlew Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Curlew, WA

Sources for this page

Verify at the official NPI Registry.