NPIMap

Organization Active NPI

Garfield County Memorial Hospital District

Doing business as Garfield County Memorial Hospital and LTC

  • Medicare Defined Swing Bed Hospital Unit
  • Pomeroy, WA
National Provider Identifier
1396833091
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as
Garfield County Memorial Hospital and LTC
Garfield County Public Hospital District #1
Practice address
66 N 6TH St
Pomeroy, WA 99347-9705
Phone
(509) 843-1591
Fax
(509) 843-1234
NPI assigned
Oct 10, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Hollie Winslow
Title
Business Office Manager
Phone
(509) 566-4147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

66 N 6TH St
Pomeroy, WA 99347-9705

Mailing address

66 N 6TH St
Pomeroy, WA 99347-9705
Phone (509) 843-1591

Other identifiers 1

IdentifierTypeStateIssuer
4208203MedicaidWA

Other names 2

  • Garfield County Memorial Hospital and LTC Doing business as
  • Garfield County Public Hospital District #1 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000812 WA Part A Provider - Critical Access Hospital 2668360769 Practice locations: Pomeroy, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396833091. Details of each certification follow.

Hospital certification: CCN 50Z301

Legal name
GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as
GARFIELD COUNTY MEMORIAL HOSPITAL AND LTC
Organization structure
GovernmentNon-profit
Incorporated
Feb 1, 1948 in WA
Enrollment address
66 N 6TH St
Pomeroy, WA 99347-9705
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Garfield County Public Hospital District 16 organizations share this tax ID, including this one
Part of
Garfield County Public Hospital District 1

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Erica Stallcop Individual Corporate DirectorBoard of Commisioners Dec 6, 2022 20%
Mat Slaybaugh Individual Operational/Managerial ControlCfo Jan 1, 2025 100%
Allie Hyer Individual Corporate DirectorBoard Member Jan 1, 2026 20%
Jennifer Dixon Individual Corporate DirectorBoard Member Nov 1, 2017 20%
Garfield County Memorial Hospital District Organization, Pomeroy, WA Other Jan 1, 1966
Steven Cannon Individual Corporate DirectorBoard Member Jan 1, 2018 20%
Stephanie Miller Individual Operational/Managerial ControlCfo Jan 1, 2024
Hollie Winslow Individual W-2 Managing EmployeeBusiness Office Manager Jan 1, 2025
Sherry Ledgerwood Individual Corporate DirectorBoard of Commisioners Dec 6, 2021 20%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Garfield County Public Hospital District #1Pomeroy, WA, CCN 501301 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966
Pomeroy Medical ClinicPomeroy, WA, CCN 503982 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1396833091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N 6TH ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "993479705",
            "telephone_number": "509-843-1591",
            "fax_number": "509-843-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N 6TH ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "993479705",
            "telephone_number": "509-843-1591",
            "fax_number": "509-843-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "509-566-4147"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4208203",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield County Memorial Hospital and LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garfield County Public Hospital District #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garfield County Public Hospital District #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomeroy, WA

Sources for this page

Verify at the official NPI Registry.