NPIMap

Organization Active NPI

Pend Oreille County Public Hospital District No. 1

  • Assisted Living Facility
  • Newport, WA
National Provider Identifier
1811302052
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
264000780 Issued in WA
Legal business name
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Doing business as
River Mountain Village Assisted Living
Practice address
608 W 2ND St
Newport, WA 99156-9026
Phone
(509) 447-2903
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Kim M Manus
Title
Ceo
Phone
(509) 447-9310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 264000780 WA Primary

Addresses

Primary practice location

608 W 2ND St
Newport, WA 99156-9026

Mailing address

608 W 2ND St
Newport, WA 99156-9026
Phone (509) 447-2441

Other identifiers 1

IdentifierTypeStateIssuer
882679MedicaidWA

Other names 1

  • River Mountain Village Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pend Oreille County Public7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1811302052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W 2ND ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569026",
            "telephone_number": "509-447-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W 2ND ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569026",
            "telephone_number": "509-447-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MANUS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-447-9310"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "264000780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882679",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Mountain Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.