NPIMap

Organization Active NPI

Vista Health Care

  • Sleep Disorder Diagnostic Clinic/Center
  • Kennewick, WA
National Provider Identifier
1396023008
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
VISTA HEALTH CARE
Practice address
6917 W Grandridge Blvd
Suite B2
Kennewick, WA 99336-7737
Phone
(509) 987-7475
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Ivan Barisic, M.D
Title
Director
Phone
(509) 987-7475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

6917 W Grandridge Blvd
Suite B2
Kennewick, WA 99336-7737

Mailing address

6917 W Grandridge Blvd
Suite B2
Kennewick, WA 99336-7737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1396023008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "address_2": "SUITE B2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "address_2": "SUITE B2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737",
            "telephone_number": "509-987-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "BARISIC",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-987-7475",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.