NPIMap

Organization Active NPI

Sunnyside Community Hospital Association

Doing business as Astria Health Center

  • Rural Health Clinic/Center
  • Grandview, WA
National Provider Identifier
1740289560
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Astria Health Center
Practice address
222 E 2ND St
Grandview, WA 98930-1342
Phone
(509) 203-6501
Fax
(509) 203-6504
NPI assigned
Jul 14, 2005
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Kim Lawson
Title
Business Office Manager
Phone
(509) 837-1617

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X
Obstetrics & Gynecology Physician 207V00000X
Rural Health Clinic/Center 261QR1300X Primary
Nurse Practitioner 363L00000X
Advanced Practice Midwife 367A00000X

Addresses

Primary practice location

222 E 2ND St
Grandview, WA 98930-1342

Mailing address

PO Box 510
Sunnyside, WA 98944-0510
Phone (509) 203-6501

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
This NPI is an additional NPI on the enrollment
Practice locations: Zillah, WA; Yakima, WA; Union Gap, WA; Toppenish, WA; Sunnyside, WA; Prosser, WA; Grandview, WA
O20050221000156 WA Part A Provider - Rural Health Clinic 1658280896 Practice locations: Grandview, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740289560. Details of each certification follow.

Rural health clinic certification: CCN 508539

Legal name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
ASTRIA HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 29, 2005
Last certification
Jun 6, 2017
Ownership / control type
2C
Organization structure
CorporationNon-profit
Enrollment address
222 E 2ND St
Grandview, WA 98930-1342
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

Locations

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Jay Rodne Individual Corporate DirectorSecretary/Treasurer Jul 1, 2024
Brian P Gibbons Individual 5% Or Greater Direct Ownership InterestPresident & Ceo Jan 1, 2021 100%
Corporate OfficerCeo May 12, 2017
Corporate DirectorCeo May 12, 2017
W-2 Managing EmployeeCeo May 12, 2017
Matthew Mathiesen Individual Corporate OfficerCfo Jun 1, 2024
Corporate DirectorChief Financial Officer Jun 1, 2024
W-2 Managing EmployeeChief Financial Officer Jun 1, 2024
Ladon Linde Individual Corporate DirectorBoard Chairperson Mar 1, 2025
Christina Rivas Individual Corporate Director May 1, 2017
Astria Health Organization, Sunnyside, WA Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 12, 2017 100%
Operational/Managerial Control May 12, 2017 100%

All facility ownership & control disclosures 4

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 Health CenterSunnyside, WA, CCN 508538 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Urgent Care CenterProsser, WA, CCN 508570 Rural health clinic Operational/Managerial Control (100%) Nov 12, 1985

Owned or controlled facilities with NPI records 4

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1740289560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440510",
            "telephone_number": "509-203-6501",
            "fax_number": "509-203-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301342",
            "telephone_number": "509-203-6501",
            "fax_number": "509-203-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "509-837-1617"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astria Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.