NPIMap

Organization Active NPI

Grant County Health District

  • Public Health or Welfare Agency
  • Moses Lake, WA
National Provider Identifier
1295915247
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GRANT COUNTY HEALTH DISTRICT
Practice address
1038 W Ivy Ave
Moses Lake, WA 98837-2049
Phone
(509) 766-7960
Fax
(509) 766-6595
NPI assigned
Nov 7, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Vicky J Rutherford
Title
Billing Manager
Phone
(509) 766-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X WA Primary

Addresses

Primary practice location

1038 W Ivy Ave
Moses Lake, WA 98837-2049

Mailing address

PO Box 37
Ephrata, WA 98823-0037
Phone (509) 754-6060

Other identifiers 3

IdentifierTypeStateIssuer
8011538MedicaidWA
7318504MedicaidWA
7404817MedicaidWA

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
50D0683300Grant County Health District1038 W Ivy Ave Ste 1, Moses Lake, WA 98837Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1038 W Ivy Ave
Moses Lake, WA 98837
Phone (509) 766-7960

840 E Plum St
Moses Lake, WA 98837
Phone (509) 764-2690

203 Central Ave S
Quincy, WA 98848
Phone (509) 787-4466

Practitioners & affiliated clinicians

Practitioners 262

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 262

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1295915247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988230037",
            "telephone_number": "509-754-6060",
            "fax_number": "509-766-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 W IVY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372049",
            "telephone_number": "509-766-7960",
            "fax_number": "509-766-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "509-766-7960"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8011538",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7318504",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7404817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.