Organization Active NPI

Sagebrush Health LLC

  • Family Medicine Physician
  • Richland, WA
National Provider Identifier
1245938356
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 28, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418000162 WA Part B Supplier - Clinic/Group Practice 7911372396 Receives reassigned benefits from 2 practitioners
Practice locations: Richland, WA

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
50D2322421Sagebrush Health217 Torbett St Ste 101, Richland, WA 99354Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.