NPIMap

Organization Active NPI

New Health Programs Association

Doing business as NEW Health Newport Medical

  • Federally Qualified Health Center (FQHC)
  • Newport, WA
National Provider Identifier
1407530157
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW HEALTH PROGRAMS ASSOCIATION
Doing business as
NEW Health Newport Medical
Practice address
435 W Walnut St
Newport, WA 99156
Phone
(509) 447-0888
NPI assigned
Jun 13, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Donna Poe
Title
Credentialing Specialist
Phone
(509) 935-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

435 W Walnut St
Newport, WA 99156

Mailing address

PO Box 808
Chewelah, WA 99109-0808
Phone (509) 935-6001

Other names 1

  • NEW Health Newport Medical Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040119000412 WA Part B Supplier - Clinic/Group Practice 1951202373 Receives reassigned benefits from 30 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orient, WA; Springdale, WA; Northport, WA; Nine Mile Falls, WA; Newport, WA; Loon Lake, WA; Ione, WA; Colville, WA…
O20240209003751 WA Part A Provider - Federally Qualified Health Center (FQHC) 1951202373 Practice locations: Newport, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407530157. Details of each certification follow.

Federally qualified health center certification: CCN 501048

Legal name
NEW HEALTH PROGRAMS ASSOCIATION
Doing business as
NEW HEALTH NEWPORT MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 6, 2024
Last certification
Feb 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1978 in WA
Enrollment address
435 W Walnut St
Newport, WA 99156-9033

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

509 E Main Ave
Chewelah, WA 99109
Phone (509) 935-6001

5952 Blackstone Way
Nine Mile Falls, WA 99026
Phone (509) 464-3627

114 S Main St
Springdale, WA 99173
Phone (509) 258-4234

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Alison McGrane Individual Corporate OfficerBoard Chair Apr 9, 2015
Keith Ballance Individual Corporate OfficerSecretary Nov 8, 2018
Desiree L Sweeney Individual Corporate DirectorCeo Oct 1, 2012
W-2 Managing EmployeeCeo Oct 1, 2012
Tracy Aynes Individual Corporate OfficerTreasurer Aug 15, 2019
Ellen Ballance Individual Corporate OfficerVice Chair Jun 13, 2012

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1407530157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090808",
            "telephone_number": "509-935-6001",
            "fax_number": "509-935-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W WALNUT ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "99156",
            "telephone_number": "509-447-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEALTH PROGRAMS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-935-6001"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW Health Newport Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.