NPIMap

Organization Active NPI

Wenatchee Valley Hospital

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1669719688
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WENATCHEE VALLEY HOSPITAL
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
Fax
(509) 664-7178
NPI assigned
Jan 10, 2013
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WENATCHEE VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Case Management Agency 251B00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

PO Box 361
Wenatchee, WA 98807-0361
Phone (509) 663-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, AZ, MA, CO, MO, DC, NE, HI, TX, GA, OR12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20130716000034 WA Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 659 practitioners
O20220721000732 CA Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 3 practitioners
Practice locations: Carmel, CA; San Francisco, CA; Mountain View, CA; San Diego, CA
O20220721000797 AZ Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20220727002348 MA Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, MA
O20220729000078 CO Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO; Highlands Ranch, CO
O20220822001823 MO Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO
O20220907003763 DC Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20220908001041 NE Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE
O20220908003744 HI Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 2 practitioners
Practice locations: Kailua, HI; Kaneohe, HI
O20220919003475 TX Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX; San Antonio, TX
O20221007002514 GA Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Agusta, GA
O20230209001828 OR Part B Supplier - Clinic/Group Practice 9537309869 Receives reassigned benefits from 1 practitioner
Practice locations: Government Camp, OR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Part of
Wenatchee Valley Hospital

Locations

300 Tigner Rd
Cashmere, WA 98815
Phone (509) 782-2001

1345 Yonezawa Blvd
Moses Lake, WA 98837

966 S Juniper Dr
Moses Lake, WA 98837
Phone (506) 855-7010

Practitioners & affiliated clinicians

Practitioners 680

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 680

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1669719688",
    "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": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711",
            "fax_number": "509-664-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENATCHEE VALLEY HOSPITAL",
        "enumeration_date": "2013-01-10",
        "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": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.