Organization Active NPI

Wenatchee Valley Hospital

  • Rural Health Clinic/Center
  • Oroville, WA
National Provider Identifier
1275870214
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WENATCHEE VALLEY HOSPITAL
Practice address
1617 Main St
Oroville, WA 98844-9380
Phone
(509) 476-3631
NPI assigned
Jan 10, 2013
Organization subpart
Yes
Parent organization
WENATCHEE VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Mr. Glenn Adams
Title
Coo
Phone
(509) 663-8711

Specialties & licenses 1

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

Addresses

Primary practice location

1617 Main St
Oroville, WA 98844-9380

Mailing address

PO Box 361
Wenatchee, WA 98807-0361
Phone (509) 663-8711

Other identifiers 1

IdentifierTypeStateIssuer
7086846MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Wenatchee Valley Hospital

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the seller Confluence Health Oroville ClinicCCN 503936, WA, NPI 1134849920

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1275870214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988070361",
            "telephone_number": "509-663-8711",
            "fax_number": "509-664-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MAIN ST",
            "city": "OROVILLE",
            "state": "WA",
            "postal_code": "988449380",
            "telephone_number": "509-476-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENATCHEE VALLEY HOSPITAL",
        "enumeration_date": "2013-01-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-663-8711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086846",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, WA

Sources for this page

Verify at the official NPI Registry.