NPIMap

Organization Active NPI

Public Hospital District #1-a of Whitman County

Doing business as Pullman Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Pullman, WA
National Provider Identifier
1750401006
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000062 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Doing business as
Pullman Regional Hospital
Practice address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone
(509) 336-7300
Fax
(509) 332-0731
NPI assigned
Mar 30, 2007
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Steven Douglas Febus
Title
Chief Financial Officer
Phone
(509) 336-7362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000062 WA Primary

Addresses

Primary practice location

835 SE Bishop Blvd
Pullman, WA 99163-5512

Mailing address

PO Box 518
Pullman, WA 99163-0518
Phone (509) 336-7300

Other identifiers 1

IdentifierTypeStateIssuer
4200119MedicaidWA

Other names 1

  • Pullman Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000849 WA Part A Provider - Critical Access Hospital 8325934987 Practice locations: Pullman, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750401006. Details of each certification follow.

Hospital certification: CCN 50Z331

Legal name
PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY
Doing business as
PULLMAN REGIONAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Other Hospital Practice Location

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

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
Tax ID family
Public Hospital District 1a of Whitman County12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

2600 S Decatur Blvd
Las Vegas, NV 89102

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Steven Febus Individual W-2 Managing EmployeeCfo Apr 18, 1999
Patricia Grantham Individual OtherBoard of Directors Jan 1, 2016
Scott Adams Individual Corporate OfficerCeo Dec 4, 2002

Practitioners & affiliated clinicians

Practitioners 184

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 184

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1750401006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991630518",
            "telephone_number": "509-336-7300",
            "fax_number": "509-332-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635512",
            "telephone_number": "509-336-7300",
            "fax_number": "509-332-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "FEBUS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "509-336-7362"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WA",
            "license": "000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200119",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pullman Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pullman Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.