NPIMap

Organization Active NPI

Okanogan Douglas District Hospital

  • Critical Access Hospital
  • Brewster, WA
National Provider Identifier
1457526139
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H23 Issued in WA
Legal business name
OKANOGAN DOUGLAS DISTRICT HOSPITAL
Practice address
507 Hospital Way
Brewster, WA 98812-0577
Phone
(509) 689-2517
Fax
(509) 689-2086
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OKANOGAN DOUGLAS DISTRICT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mrs. Jennifer Munson
Title
Cfo
Phone
(509) 689-2517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H23 WA Primary

Addresses

Primary practice location

507 Hospital Way
Brewster, WA 98812-0577

Mailing address

507 Hospital Way
PO Box 577
Brewster, WA 98812-0577
Phone (509) 689-2517

Other identifiers 1

IdentifierTypeStateIssuer
7141856MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Eagle Rock Clinic16 organizations share this tax ID, including this one
Part of
Eagle Rock Clinic

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1457526139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HOSPITAL WAY",
            "address_2": "PO BOX 577",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120577",
            "telephone_number": "509-689-2517",
            "fax_number": "509-689-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120577",
            "telephone_number": "509-689-2517",
            "fax_number": "509-689-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKANOGAN DOUGLAS DISTRICT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKANOGAN DOUGLAS DISTRICT HOSPITAL",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-689-2517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7141856",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.