NPIMap

Organization Active NPI

Okanogan County Public Hospital District No. 3

Doing business as Mid-Valley Hospital

  • Critical Access Hospital
  • Omak, WA
National Provider Identifier
1255387403
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-147 Issued in WA
Legal business name
OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Doing business as
Mid-Valley Hospital
Practice address
810 Jasmine St
Omak, WA 98841-9578
Phone
(509) 826-1760
Fax
(509) 826-7379
NPI assigned
May 26, 2006
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Mr. Andrew Bertapelle, CEO
Title
Ceo
Phone
(509) 826-1760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-147 WA Primary

Addresses

Primary practice location

810 Jasmine St
Omak, WA 98841-9578

Mailing address

PO Box 793
Omak, WA 98841-0793
Phone (509) 826-1760

Other names 1

  • Mid-Valley Hospital Doing business as

Electronic endpoints 20

TypeEndpointUseAffiliation
Direct Messaging Address dolgners@mvhealth.cernerdirect.com Direct
Direct Messaging Address gewirtzj@mvhealth.cernerdirect.com Direct
Direct Messaging Address boths@mvhealth.cernerdirect.com Direct
Direct Messaging Address bonewellb@mvhealth.cernerdirect.com Direct
Direct Messaging Address biancarellig@mvhealth.cernerdirect.com Direct
Direct Messaging Address hatze@mvhealth.cernerdirect.com Direct
Direct Messaging Address sterlingr@mvhealth.cernerdirect.com Direct
Direct Messaging Address jaquishc@mvhealth.cernerdirect.com Direct
Direct Messaging Address paynem@mvhealth.cernerdirect.com Direct
Direct Messaging Address riegela@mvhealth.cernerdirect.com Direct
Direct Messaging Address quiqleyd@mvhealth.cernerdirect.com Direct
Direct Messaging Address ThillJ@mvhealth.cernerdirect.com Direct
Direct Messaging Address McCourtieA@mvhealth.cernerdirect.com Direct
Direct Messaging Address WallaceJ@mvhealth.cernerdirect.com Direct
Direct Messaging Address KingA@mvhealth.cernerdirect.com Direct
Direct Messaging Address jensenj@mvhealth.cernerdirect.com Direct
Direct Messaging Address lovej@mvhealth.cernerdirect.com Direct
Direct Messaging Address millere@mvhealth.cernerdirect.com Direct
Direct Messaging Address alrashedyf@mvhealth.cernerdirect.com Direct
Direct Messaging Address mathisone@mvhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040128000027 WA Part B Supplier - Clinic/Group Practice 6800707951 Receives reassigned benefits from 189 practitioners
1 other NPI on this enrollment
Practice locations: Omak, WA
O20070219000242 WA Part A Provider - Critical Access Hospital 6800707951 Receives reassigned benefits from 128 practitioners
Practice locations: Omak, WA
O20120302000373 WA Part A Provider - Critical Access Hospital 6800707951 Practice locations: Omak, WA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1255387403. Details of each certification follow.

Hospital certification: CCN 501328

Legal name
OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Doing business as
MID VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2003
Last certification
May 5, 2018
Beds
25 (20 certified)
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
810 Jasmine St
Omak, WA 98841-9578

Hospital certification: CCN 50Z328

Legal name
OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
Doing business as
MID VALLEY HOSPITAL
Organization structure
OtherNon-profit
Incorporated
Nov 17, 1960 in WA
Enrollment address
810 Jasmine St
Omak, WA 98841-9578

Hospital certification: CCN 500071

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MID-VALLEY HOSPITAL
Certification status
Terminated Other: provider status change, Oct 1, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 5, 2001
Beds
44
Ownership / control type
Hospital district or authority
Facility address
810 Jasmine Street, P O Box 873
Omak, WA 98841

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

Other NPIs with the same Medicare PAC ID 1

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mid Valley Hospital & ClinicCCN 501328 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
50D0638191Mid-Valley Hospital Laboratory810 Jasmine St, Omak, WA 98841ComplianceApr 4, 2028
50D1034649Mid-Valley Hospital810 Jasmine St, Omak, WA 98841Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: alrashedyf@mvhealth.cernerdirect.com
  • Direct secure messaging: biancarellig@mvhealth.cernerdirect.com
  • Direct secure messaging: bonewellb@mvhealth.cernerdirect.com
  • Direct secure messaging: boths@mvhealth.cernerdirect.com
  • Direct secure messaging: dolgners@mvhealth.cernerdirect.com
  • Direct secure messaging: gewirtzj@mvhealth.cernerdirect.com
  • Direct secure messaging: hiersched@mvhealth.cernerdirect.com
  • Direct secure messaging: hitel@mvhealth.cernerdirect.com
  • Direct secure messaging: jensenj@mvhealth.cernerdirect.com
  • Direct secure messaging: johansenr@mvhealth.cernerdirect.com
  • Direct secure messaging: lovej@mvhealth.cernerdirect.com
  • Direct secure messaging: mathisone@mvhealth.cernerdirect.com
  • Direct secure messaging: mccourtiea@mvhealth.cernerdirect.com
  • Direct secure messaging: millere@mvhealth.cernerdirect.com
  • Direct secure messaging: quiqleyd@mvhealth.cernerdirect.com
  • Direct secure messaging: sterlingr@mvhealth.cernerdirect.com
  • Direct secure messaging: thillj@mvhealth.cernerdirect.com
  • Direct secure messaging: wallacej@mvhealth.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Holly Stanley Individual Corporate OfficerCfo Mar 1, 2015
Corporate Officer Feb 16, 2015
Corporate Director Feb 16, 2015
W-2 Managing Employee Feb 16, 2015
Andrew Joseph Bertapelle Individual Corporate OfficerCeo Apr 16, 2025 100%
W-2 Managing EmployeeAd;Ceo Apr 16, 2025 100%
Okanogan County Public Hospital District No. 3 Organization, Omak, WA Non-profit 5% Or Greater Direct Ownership Interest Feb 20, 1996 100%
5% Or Greater Direct Ownership Interest Oct 1, 2003
Operational/Managerial Control Nov 30, 2007
Winnie R Adams Individual Corporate OfficerCeo Jun 1, 2022
W-2 Managing EmployeeCeo Jun 1, 2022

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Mid Valley Medical GroupOmak, WA, CCN 508534 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2003

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 199

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 199

Affiliated clinicians 158

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1255387403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988410793",
            "telephone_number": "509-826-1760",
            "fax_number": "509-826-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419578",
            "telephone_number": "509-826-1760",
            "fax_number": "509-826-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "BERTAPELLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-826-1760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dolgners@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gewirtzj@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boths@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonewellb@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "biancarellig@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hatze@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sterlingr@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaquishc@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MID-VALLEY HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paynem@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riegela@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quiqleyd@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ThillJ@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "McCourtieA@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WallaceJ@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KingA@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jensenj@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lovej@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "millere@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alrashedyf@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mathisone@mvhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mid-Valley Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "810 Jasmine St",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mid-Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.