Ferry County Public Hospital District No 1
Organization Active NPI Skilled Nursing Facility · Republic, WA
NPI 1508086141 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1508086141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
- Practice address
- 36 Klondike Rd
Republic, WA 99166-9701 - Phone
- (509) 775-3333
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Lady
- Title
- Ceo
- Phone
- (509) 775-3333
Owners & managing parties with NPI records 4
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 1
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 17
-
Eric Aronsohn, PA-C
-
Samuel A Artzis, MD
-
Robert T Brown, PAC
-
Annette L. Byrd, FNP-PP
-
Mari S Hunter, APN-C
-
Matthew Ryan Johnson, ARNP, RN
-
Kal Kelley, MD
-
James Ivan Maeda, M.D.
-
Melissa Mitchell, DNP, AGPCNP-BC
-
Joseph D Petersen, ARNP
-
Patricia Ann Short, M.D.
-
Devon Woodley, DNP, ARNP
-
Richard Garcia, D.O.
-
Laura Jean Karg, LCSW
Affiliated clinicians 4
-
Samuel A Artzis, MD
-
Kal Kelley, MD
-
Richard Garcia, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Hospital certification: CCN 50Z322
- Legal name
- FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
- Doing business as
- FERRY COUNTY MEMORIAL HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 36 Klondike Rd
Republic, WA 99166-9701
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Giddings |
Corporate Officer |
Sep 3, 2014 | |
| Ferry County Public Hospital District No 1 |
Operational/Managerial Control | Nov 20, 2007 | |
| Jennifer Reed |
Contracted Managing Employee |
Jan 4, 2022 | |
| Dianne Lundgren |
Corporate Officer |
Jun 23, 2011 | |
| Sarah Krausse |
Corporate Officer |
Jan 1, 2022 | |
| Susan Solomon Hopkins |
Corporate Officer |
Nov 21, 2023 | |
| Ronald Bacon |
Corporate Officer |
Nov 20, 2008 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ferry County Memorial Hospital |
Hospital | Operational/Managerial Control | Nov 20, 2007 |
| Republic Medical Clinic |
Rural health clinic | Operational/Managerial Control | Jan 25, 2007 |
| Curlew Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1989 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080506000185 | WA | Part a Provider - Critical Access Hospital | 0446148761 | Practice locations: Republic, WA |
National Provider Directory
- Tax ID family
- Ferry County Hosp DST-a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
36 Klondike Rd
Republic, WA 99166-9701
Mailing address
36 Klondike Rd
Republic, WA 99166-9701
Phone (509) 775-3333
Other names
- Ferry County Memorial Hospital
Other providers in Republic, WA
- Ferry County Counseling Services
- Ferry County Emergency Medical Services District 1
- Ferry County Hospital District #1
- Ferry County Public Hospital District
- Ferry County Public Hospital District No 1
- Ferry County Public Hospital District No 1
- Ferry County Sheriff
- Mailyn S Fleck
- Rachel S Flesher
- Roxie A Gliddon
All providers in Republic, WA · Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.