NPIMap

Organization Active NPI

East Adams Rural Hospital

  • Physical Medicine & Rehabilitation Physician
  • Ritzville, WA
National Provider Identifier
1619192168
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EAST ADAMS RURAL HOSPITAL
Practice address
903 S Adams St
Ritzville, WA 99169-2227
Phone
(509) 659-1200
Fax
(509) 659-1252
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Tamra Combs
Title
Credentialing
Phone
(509) 659-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

903 S Adams St
Ritzville, WA 99169-2227

Mailing address

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-1200

Other identifiers 1

IdentifierTypeStateIssuer
7114317MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Ritzville Mem Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1619192168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-1200",
            "fax_number": "509-659-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-1200",
            "fax_number": "509-659-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ADAMS RURAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "509-659-1200"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114317",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ritzville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.