NPIMap

Organization Active NPI

Adams County Hospital 2

Doing business as Ritzville Medical Clinic

  • Rural Health Clinic/Center
  • Ritzville, WA
National Provider Identifier
1659387041
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADAMS COUNTY HOSPITAL 2
Doing business as
Ritzville Medical Clinic
Practice address
903 S Adams St
Ritzville, WA 99169-2227
Phone
(509) 659-5402
Fax
(509) 659-1252
NPI assigned
Jul 31, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

903 S Adams St
Ritzville, WA 99169-2227

Mailing address

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-5402

Other identifiers 9

IdentifierTypeStateIssuer
0148592OtherWAWA L&I
0203688OtherWAWA L&I
7105489MedicaidWA
8119547MedicaidWA
8157364MedicaidWA
0051688OtherWAWA L&I
0156841OtherWAWA L&I
7144503MedicaidWA
0050906OtherWAWA L&I

Other names 1

  • Ritzville Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001448 WA Part B Supplier - Clinic/Group Practice 8022906122 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
Practice locations: Ritzville, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659387041. Details of each certification follow.

Rural health clinic certification: CCN 503983

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
RITZVILLE MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 17, 1994
Last certification
Feb 19, 2014
Ownership / control type
2A
Facility address
903 South Adams
Ritzville, WA 99169
Related CCNs
501311

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0638926Ritzville Medical Clinic903 S Adams St, Ritzville, WA 99169Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1659387041",
    "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": "509-659-5402",
            "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": "509-659-5402",
            "fax_number": "509-659-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY HOSPITAL 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "CREDENTALING",
        "authorized_official_telephone_number": "509-659-1200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0148592",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0203688",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105489",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8119547",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8157364",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0051688",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0156841",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144503",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0050906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritzville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ritzville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ritzville, WA

Sources for this page

Verify at the official NPI Registry.