NPIMap

Organization Active NPI

Okanogan Douglas County Hospital District 1

Doing business as Mansfield Clinic

  • Clinic/Center
  • Mansfield, WA
National Provider Identifier
1396912754
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H-023 Issued in WA
Legal business name
OKANOGAN DOUGLAS COUNTY HOSPITAL DISTRICT 1
Doing business as
Mansfield Clinic
Practice address
35 North Main
Mansfield, WA 98830-0158
Phone
(509) 683-1300
Fax
(509) 683-1313
NPI assigned
May 14, 2008
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
OKANOGAN DOUGLAS COUNTY HOSPITAL DISTRICT 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Ms. Sandy Walter
Title
Coo
Phone
(509) 689-2517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H-023 WA Primary

Addresses

Primary practice location

35 North Main
Mansfield, WA 98830-0158

Mailing address

PO Box 158
35 North Main
Mansfield, WA 98830-0158
Phone (509) 683-1300

Other names 1

  • MANSFIELD CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James D Spencer16 organizations share this tax ID, including this one
Part of
James D Spencer

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1396912754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "35 NORTH MAIN",
            "city": "MANSFIELD",
            "state": "WA",
            "postal_code": "988300158",
            "telephone_number": "509-683-1300",
            "fax_number": "509-683-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NORTH MAIN",
            "city": "MANSFIELD",
            "state": "WA",
            "postal_code": "988300158",
            "telephone_number": "509-683-1300",
            "fax_number": "509-683-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKANOGAN DOUGLAS COUNTY HOSPITAL DISTRICT 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKANOGAN DOUGLAS COUNTY HOSPITAL DISTRICT 1",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-689-2517",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "H-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANSFIELD CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.