Organization Active NPI

Chelan County Public Hospital District No. 1

  • Medicare Defined Swing Bed Hospital Unit
  • Leavenworth, WA
National Provider Identifier
1528050309
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Doing business as
Cascade Medical Center
Practice address
817 Commercial St
Leavenworth, WA 98826-1316
Phone
(509) 548-5815
Fax
(509) 548-2510
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Diane Blake
Title
Chief Executive Officer
Phone
(509) 548-3425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X WA Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

817 Commercial St
Leavenworth, WA 98826-1316

Mailing address

817 Commercial St
Leavenworth, WA 98826-1316
Phone (509) 548-5815

Other names 1

  • Cascade Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adminoffice@cadcademedical.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000516 WA Part A Provider - Critical Access Hospital 3971491234 Receives reassigned benefits from 6 practitioners
Practice locations: Leavenworth, WA

Hospital certification: CCN 50Z313

Legal name
CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Doing business as
CASCADE MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Nov 8, 1965 in WA
Enrollment address
817 Commercial St
Leavenworth, WA 98826-1316
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sharon L Day-Campbell Individual Corporate DirectorBoard President Apr 1, 2025
Marianne Vincent Individual Corporate OfficerChief Financial Officer Jan 26, 2015
W-2 Managing EmployeeChief Financial Officer Jan 26, 2015
Operational/Managerial ControlChief Financial Officer Jan 26, 2015
Chelan County Public Hospital District No. 1 Organization, Leavenworth, WA Operational/Managerial Control Jan 1, 1966 100%
Diane Blake Individual Corporate OfficerChief Executive Officer Jul 1, 2010
W-2 Managing Employee Jul 1, 2010
Operational/Managerial ControlChief Executive Officer Jul 1, 2010

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Cascade Medical CenterLeavenworth, WA, CCN 501313 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Cascade Medical CenterLeavenworth, WA, CCN 503992 Rural health clinic Operational/Managerial Control Feb 8, 2008

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1528050309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-548-3425"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adminoffice@cadcademedical.org",
            "affiliation": "N",
            "endpointDescription": "Administration Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "817 Commercial St",
            "city": "Leavenworth",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988261316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cascade Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascade Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leavenworth, WA

Sources for this page

Verify at the official NPI Registry.