NPIMap

Organization Active NPI

Sunnyside Community Hospital Association

Doing business as Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
National Provider Identifier
1407289184
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Astria Health Center
Practice address
2201 E Edison Rd
Sunnyside, WA 98944-9214
Phone
(509) 837-3090
Fax
(509) 836-4841
NPI assigned
Aug 16, 2013
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Maxwell Owens
Title
Cfo
Phone
(509) 837-1379

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Family Medicine Physician 207Q00000X
Adult Medicine Physician 207QA0505X
Pediatrics Physician 208000000X
Dental Clinic/Center 261QD0000X
Rural Health Clinic/Center 261QR1300X Primary
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

2201 E Edison Rd
Sunnyside, WA 98944-9214

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1614

Other names 1

  • Astria Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000194 WA Part B Supplier - Clinic/Group Practice 1658280896 Receives reassigned benefits from 139 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zillah, WA; Yakima, WA; Union Gap, WA; Toppenish, WA; Sunnyside, WA; Prosser, WA; Grandview, WA
O20131106001676 WA Part A Provider - Rural Health Clinic 1658280896 Practice locations: Sunnyside, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407289184. Details of each certification follow.

Rural health clinic certification: CCN 508569

Legal name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
ASTRIA HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 1, 2014
Last certification
May 1, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 26, 1985 in WA
Enrollment address
2201 E Edison Rd
Sunnyside, WA 98944-9214
Related CCNs
501330

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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

National Provider Directory

National Provider Directory
Tax ID family
Sunnyside Community Hospital Association11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

210 Chardonnay Ave
Prosser, WA 99350

715 North Park Ctr
Selah, WA 98942
Phone (509) 697-4827

1000 E Edison Ave
Sunnyside, WA 98944
Phone (509) 834-3052

1016 Tacoma Ave
#719
Sunnyside, WA 98944
Phone (509) 837-1650

1801 E Edison Ave
Sunnyside, WA 98944
Phone (509) 836-4840

1849 Quail Ln
Sunnyside, WA 98944
Phone (509) 837-1375

2201 E Edison Rd
Sunnyside, WA 98944
Phone (509) 837-3090

2705 E Lincoln Ave
Ste B
Sunnyside, WA 98944
Phone (509) 636-4848

396 S 9TH St
Sunnyside, WA 98944
Phone (509) 837-1651

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

803 E Lincoln Ave
Ste C
Sunnyside, WA 98944

812 Miller Ave
Ste C
Sunnyside, WA 98944
Phone (509) 837-6174

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

303 S 12th Ave
Yakima, WA 98902
Phone (509) 453-8248

4001 Tieton Dr
Yakima, WA 98908
Phone (509) 410-0746

915 Vintage Valley Pkwy
Zillah, WA 98953
Phone (509) 314-6565

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Brian P Gibbons Individual Corporate OfficerCheif Executive Officer May 12, 2017 100%
Corporate DirectorCeo/Board Member May 12, 2017 100%
Operational/Managerial ControlCheif Executive Officer May 12, 2017 100%
Matthew Mathiesen Individual Corporate DirectorChief Financial Officer Jun 1, 2024
W-2 Managing EmployeeChief Financial Officer Jun 1, 2024
Castulo T Arteaga Individual Corporate DirectorVice Chairperson Jan 1, 2021
Peggy I Brewer Individual Corporate DirectorChairperson Jan 1, 2021
Maxwell Owens Individual Corporate OfficerSenior Vice President Finance Aug 1, 2020
Corporate DirectorSenior Vice President Finance Aug 1, 2020
W-2 Managing EmployeeSenior Vice President Finance Aug 1, 2020
Christina Rivas Individual Corporate DirectorBoard Member Jan 1, 2021
Astria Health Organization, Sunnyside, WA Corporation, Non-profit Operational/Managerial Control May 12, 2017 100%
Asusena Fonseca Individual Corporate DirectorBoard Member Jan 1, 2021

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Astria Sunnyside HospitalSunnyside, WA, CCN 501330 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Home HealthSunnyside, WA, CCN 507126 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 21, 2016
Nov 21, 2016
Astria Health CenterSunnyside, WA, CCN 508538 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Urgent Care CenterProsser, WA, CCN 508570 Rural health clinic Operational/Managerial Control (100%) Nov 12, 1985

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 205

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 205

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1407289184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1614",
            "fax_number": "509-837-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E EDISON RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449214",
            "telephone_number": "509-837-3090",
            "fax_number": "509-836-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-837-1379"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astria Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.