Active NPI
Prosser Public Hospital District of Benton County
Doing business as Prosser Memorial Hospital Home Health
- Home Health Agency
- Prosser, WA
National Provider Identifier
1639118490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IHSFS.00000414
- Legal business name
- PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
- Doing business as
- Prosser Memorial Hospital Home Health
- Practice address
- 723 Memorial Street
Prosser, WA 99350-1524 - Phone
- (509) 786-2222
- Fax
- (509) 786-6612
- NPI assigned
- Jun 6, 2006
- Organization subpart
- Yes
- Parent organization
- PROSSER PUBLIC HOSPTIAL DISTRICT OF BENTON CO.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Marks
- Title
- Ceo
- Phone
- (509) 786-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IS414 | WA | |
| Home Health Agency | 251E00000X | IHSFS.00000414 | WA | Primary |
Addresses
Primary practice location
723 Memorial Street
Prosser, WA 99350-1524
Mailing address
723 Memorial Street
Prosser, WA 99350-1524
Phone (509) 786-2222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100887 | Other | WA | L & I HOME HEALTH |
| 100888 | Other | WA | L & I HOME IV |
| 9040254 | Medicaid | WA |
Other names 1
- Prosser Memorial Hospital Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 500043
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PROSSER MEMORIAL HOSPITAL
- Certification status
- Terminated Other: provider status change, Jan 1, 2002
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 26, 1998
- Beds
- 62
- Ownership / control type
- Hospital district or authority
- Facility address
- 723 Memorial Street
Prosser, WA 99350
National Provider Directory
National Provider Directory- Part of
- Prosser Memorial Hosp E
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Prosser Memorial Health Spine Clinic
- Specialist
- Walla Walla, WA
- NPI 1518770155
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1639118490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 MEMORIAL STREET",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501524",
"telephone_number": "509-786-2222",
"fax_number": "509-786-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 MEMORIAL STREET",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501524",
"telephone_number": "509-786-2222",
"fax_number": "509-786-6612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROSSER PUBLIC HOSPTIAL DISTRICT OF BENTON CO.",
"enumeration_date": "2006-06-06",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-786-2222"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "IS414",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "IHSFS.00000414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I HOME HEALTH",
"identifier": "100887",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I HOME IV",
"identifier": "100888",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9040254",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prosser Memorial Hospital Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prosser Memorial Hospital Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Prosser, WA
- Prosser Public Hospital District of Benton County
- Prosser Public Hospital District of Benton County (PMH Transtitional Long Term Care)
- Prosser Public Hospital District of Benton County (Prosser Digestive Health Center)
- Prosser Public Hospital District of Benton County (Prosser Memorial Health)
- Prosser Public Hospital District of Benton County (Prosser Clinic-Prosser Memorial Health)
- Prosser Public Hospital District of Benton County (Prosser Specialty Clinic)
- Prosser Public Hospital District of Benton County (Prosser Women's Health CLinic)
- Prosser School District
- Prosser Southgate Pharmacy Inc (Prosser Southgate Pharmacy)
- Jerri Purdy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.