Organization Active NPI

Ferry County Public Hospital District No 1

Doing business as Ferry County Memorial Hospital

  • Skilled Nursing Facility
  • Republic, WA
National Provider Identifier
1508086141
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing business as
Ferry County Memorial Hospital
Practice address
36 Klondike Rd
Republic, WA 99166-9701
Phone
(509) 775-3333
NPI assigned
Apr 26, 2007
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mr. Brian Lady
Title
Ceo
Phone
(509) 775-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

  • Ferry County Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000185 WA Part A Provider - Critical Access Hospital 0446148761 Practice locations: Republic, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508086141. Details of each certification follow.

Hospital certification: CCN 50Z322

Legal name
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing business as
FERRY COUNTY MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
36 Klondike Rd
Republic, WA 99166-9701
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Ferry Co Hosp Dist 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Nancy Giddings Individual Corporate OfficerBoard Member Sep 3, 2014
Ferry County Public Hospital District No 1 Organization, Republic, WA Operational/Managerial Control Nov 20, 2007
Jennifer Reed Individual Contracted Managing EmployeeAd; Jan 4, 2022
Dianne Lundgren Individual Corporate OfficerBoard Member Jun 23, 2011
Sarah Krausse Individual Corporate OfficerBoard Member Jan 1, 2022
Susan Solomon Hopkins Individual Corporate OfficerBoard Member Nov 21, 2023
Ronald Bacon Individual Corporate OfficerBoard Member Nov 20, 2008

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Ferry County Memorial HospitalRepublic, WA, CCN 501322 Hospital Operational/Managerial Control Nov 20, 2007
Republic Medical ClinicRepublic, WA, CCN 508522 Rural health clinic Operational/Managerial Control Jan 25, 2007
Curlew Medical ClinicCurlew, WA, CCN 508533 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1989

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1508086141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KLONDIKE RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669701",
            "telephone_number": "509-775-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KLONDIKE RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669701",
            "telephone_number": "509-775-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-775-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferry County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Republic, WA

Sources for this page

Verify at the official NPI Registry.