Wenatchee Valley Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WENATCHEE VALLEY HOSPITAL

Practice address

418 W. Main St.
Brewster, WA 98812

Phone

(509) 689-8900

NPI assigned

Jun 12, 2012

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WENATCHEE VALLEY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Glenn Adams

Title

Coo

Phone

(509) 663-8711

Specialties & licenses 2

Addresses

Other names 1

• Confluence Health Brewster Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Wenatchee Valley Hospital

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Central Washington Health Services Association

  dba Confluence Health Brewster Clinic

  • Rural Health Clinic/Center
  • Brewster, WA
  • NPI 1861112351

  Sold to, 2023-07-01

  CMS change of ownership

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1811259195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W. MAIN ST.",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENATCHEE VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENATCHEE VALLEY HOSPITAL",
        "enumeration_date": "2012-06-12",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-663-8711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confluence Health Brewster",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Confluence Health Brewster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cierra Sullivan
• Gordon Chris Tingle, LMT
• Jason R Tucker, DDS
• James G Wallace Jr., M.D.
• Brandon Watson, O.D.
• Yvonne M Zoretic, OTR/L

• Rural Health Clinic/Center in Brewster, WA
• Providers in Brewster, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.