NPIMap

Organization Active NPI

Grays Harbor Community Hospital

  • Anesthesiology Physician
  • Aberdeen, WA
National Provider Identifier
1720121650
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GRAYS HARBOR COMMUNITY HOSPITAL
Practice address
915 Anderson Drive
Aberdeen, WA 98520
Phone
(360) 532-8330
Fax
(360) 537-6146
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
GRAYS HARBOR COMMUNITY HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Joseph E Vessey
Title
Cfo
Phone
(360) 537-5145

Other NPIs on the same Medicare enrollment 11

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

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000081 WA Part B Supplier - Clinic/Group Practice 3577462365 Receives reassigned benefits from 213 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, WA; Hoquiam, WA; Montesano, WA; Westport, WA

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Clinic10 organizations share this tax ID, including this one
Part of
Urgent Care Clinic

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X WA Primary
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X WA

Addresses

NPPES NPI Registry

Primary practice location

915 Anderson Drive
Aberdeen, WA 98520

Mailing address

PO Box 1140
1006 N H Street
Aberdeen, WA 98520
Phone (360) 537-6120

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7108418MedicaidWA

Other names 1

NPPES NPI Registry
  • Grays Harbor House Anesthesia Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2016.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1720121650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "address_2": "1006 N H STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-537-6120",
            "fax_number": "360-537-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ANDERSON DRIVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-532-8330",
            "fax_number": "360-537-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYS HARBOR COMMUNITY HOSPITAL",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "VESSEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-537-5145"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grays Harbor House Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.