NPIMap

Organization Active NPI

East Adams Rural Hospital- Radiology

  • Diagnostic Radiology Physician
  • Ritzville, WA
National Provider Identifier
1780807305
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EAST ADAMS RURAL HOSPITAL- RADIOLOGY
Practice address
903 S Adams St
Ritzville, WA 99169-2227
Phone
(509) 659-5410
Fax
(509) 659-1252
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Tamra Combs
Title
Director of Patient Accounts
Phone
(509) 659-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

903 S Adams St
Ritzville, WA 99169-2227

Mailing address

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-5410

Other identifiers 1

IdentifierTypeStateIssuer
7114291MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Ritzville Mem Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1780807305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-5410",
            "fax_number": "509-659-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-5410",
            "fax_number": "509-659-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ADAMS RURAL HOSPITAL- RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "509-659-1200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114291",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ritzville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.