Active NPI
Wenatchee Valley Hospital
- Rural Health Clinic/Center
- East Wenatchee, WA
National Provider Identifier
1649517467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- WENATCHEE VALLEY HOSPITAL
- Practice address
- 100 Highline Dr
East Wenatchee, WA 98802-5341 - Phone
- (509) 884-0614
- NPI assigned
- Jan 14, 2013
- Organization subpart
- Yes
- Parent organization
- WENATCHEE VALLEY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Adams
- Title
- Coo
- Phone
- (509) 663-8711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | WA | Primary |
Addresses
Primary practice location
100 Highline Dr
East Wenatchee, WA 98802-5341
Mailing address
PO Box 361
Wenatchee, WA 98807-0361
Phone (509) 663-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7083066 | Medicaid | WA |
Other names 1
- Confluence Health East Wenatchee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Wenatchee Valley Hospital
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2023 | Change of Ownership | Confluence Health E Wenatchee Clinic |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- East Wenatchee, WA
- NPI 1760102438
Sold to, 2023-07-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1649517467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988070361",
"telephone_number": "509-663-8711",
"fax_number": "509-664-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLINE DR",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988025341",
"telephone_number": "509-884-0614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENATCHEE VALLEY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WENATCHEE VALLEY HOSPITAL",
"enumeration_date": "2013-01-14",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "509-663-8711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7083066",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Confluence Health East Wenatchee",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Confluence Health East Wenatchee",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.