Active NPI
Sagebrush Health LLC
- Family Medicine Physician
- Richland, WA
National Provider Identifier
1245938356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAGEBRUSH HEALTH LLC
- Practice address
- 217 Torbett St Ste 101
Richland, WA 99354-2667 - Phone
- (509) 427-1450
- Fax
- (509) 420-4224
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Cantu
- Title
- Clinic Administrator
- Phone
- (509) 427-1454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
217 Torbett St Ste 101
Richland, WA 99354-2667
Mailing address
217 Torbett St Ste 101
Richland, WA 99354-2667
Phone (509) 427-1450
Other names 1
- Sagebrush Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2322421 | Sagebrush Health | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
217 Torbett St
Ste 101
Richland, WA 99354
Phone (509) 427-1450
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richland, WA
- NPI 1003895533
-
- Medical Physician Assistant
- Richland, WA
- NPI 1093802373
-
- Cardiovascular Disease Physician
- Richland, WA
- NPI 1316090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1245938356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 TORBETT ST STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542667",
"telephone_number": "509-427-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 TORBETT ST STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542667",
"telephone_number": "509-427-1450",
"fax_number": "509-420-4224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGEBRUSH HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "CANTU",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
"authorized_official_telephone_number": "509-427-1454"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sagebrush Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sagebrush Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.