Organization Active NPI

Sunnyside Community Hospital Association

Doing business as Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
National Provider Identifier
1679521637
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
HAC.FS.00000198 Issued in WA
Legal business name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Astria Health Center
Practice address
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone
(509) 837-6911
Fax
(509) 837-6920
NPI assigned
May 4, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Maxwell Owens
Title
Cfo
Phone
(509) 837-1617

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Family Medicine Physician 207Q00000X HAC.FS.00000198 WA
Obstetrics & Gynecology Physician 207V00000X
Otolaryngology Physician 207Y00000X
Pediatrics Physician 208000000X
Surgery Physician 208600000X
Rural Health Clinic/Center 261QR1300X HAC.FS.00000198 WA Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

803 E Lincoln Ave
Sunnyside, WA 98944-2383

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-6911

Other identifiers 1

IdentifierTypeStateIssuer
G8860739OtherMEDICARE PART B

Other names 1

  • Astria Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000194 WA Part B Supplier - Clinic/Group Practice 1658280896 Receives reassigned benefits from 139 practitioners
30 other NPIs on this enrollment
Practice locations: Zillah, WA; Yakima, WA; Union Gap, WA; Toppenish, WA; Sunnyside, WA; Prosser, WA; Grandview, WA
O20050221000162 WA Part A Provider - Rural Health Clinic 1658280896 Practice locations: Sunnyside, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679521637. Details of each certification follow.

Rural health clinic certification: CCN 508538

Legal name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
ASTRIA HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 28, 2005
Last certification
Jan 12, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 26, 1985 in WA
Enrollment address
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Related CCNs
501330

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 30

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

View all 30

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sunnyside Community Hospital Association Organization, Sunnyside, WA Non-profit 5% Or Greater Direct Ownership Interest Dec 27, 2012 100%
Brian P Gibbons Individual Corporate OfficerChief Executive Officer May 12, 2017
Corporate DirectorCeo/Board Member May 12, 2017
W-2 Managing EmployeeCeo Jan 1, 2020
Matthew Mathiesen Individual Corporate DirectorChief Financial Officer Jun 1, 2024
W-2 Managing EmployeeChief Financial Officer Jun 1, 2024
Castulo T Arteaga Individual Corporate DirectorVice Chairperson Jan 1, 2021
Peggy I Brewer Individual Corporate DirectorChairperson Jan 1, 2021
Maxwell Owens Individual Corporate OfficerSenior Vice President Finance Aug 1, 2020
Corporate DirectorSenior Vice President Finance Aug 1, 2020
W-2 Managing EmployeeSenior Vice President Finance Aug 1, 2020
Christina Rivas Individual Corporate DirectorBoard Member Jan 1, 2021
Astria Health Organization, Sunnyside, WA Corporation, Non-profit Operational/Managerial Control May 12, 2017 100%
Asusena Fonseca Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Astria Sunnyside HospitalSunnyside, WA, CCN 501330 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Home HealthSunnyside, WA, CCN 507126 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Nov 21, 2016
Nov 21, 2016
Astria Urgent Care CenterProsser, WA, CCN 508570 Rural health clinic Operational/Managerial Control (100%) Nov 12, 1985

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 142

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 142

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1679521637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-6911",
            "fax_number": "509-837-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442383",
            "telephone_number": "509-837-6911",
            "fax_number": "509-837-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-837-1617"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "HAC.FS.00000198",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": "HAC.FS.00000198",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "G8860739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astria Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.