NPIMap

Organization Active NPI

Grays Harbor Community Hospital

  • Rural Health Clinic/Center
  • Aberdeen, WA
National Provider Identifier
1821573965
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GRAYS HARBOR COMMUNITY HOSPITAL
Practice address
1006 N H St
Aberdeen, WA 98520-2521
Phone
(360) 537-6496
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Niall Foley
Title
Executive Director of Finance
Phone
(360) 537-5145

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1006 N H St
Aberdeen, WA 98520-2521

Mailing address

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 537-5145

Other identifiers 1

IdentifierTypeStateIssuer
100366800MedicaidWA

Other names 1

  • GHCH Aberdeen East Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031231000081 WA Part B Supplier - Clinic/Group Practice 3577462365 Receives reassigned benefits from 213 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, WA; Hoquiam, WA; Montesano, WA; Westport, WA
O20180322000911 WA Part A Provider - Rural Health Clinic 3577462365 1 other NPI on this enrollment
Practice locations: Aberdeen, WA

Rural health clinic certification: CCN 508576

Legal name
GRAYS HARBOR COMMUNITY HOSPITAL
Doing business as
GHCH ABERDEEN EAST CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 16, 2018
Last certification
Aug 13, 2014
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1939 in WA
Enrollment address
1006 N H St
Aberdeen, WA 98520-2521
Related CCNs
500031

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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
Thomas Jensen Individual Corporate OfficerCeo Apr 16, 2018
W-2 Managing EmployeeCeo Apr 16, 2018
Grays Harbor Community Hospital Organization, Aberdeen, WA Non-profit 5% Or Greater Direct Ownership Interest Apr 16, 2018 100%
Niall Shea Foley Individual Corporate OfficerChief Financial Officer Dec 1, 2018

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grays Harbor Community HospitalAberdeen, WA, CCN 500031 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2007
Jan 14, 2014
The Hoquiam ClinicHoquiam, WA, CCN 508577 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 16, 2018
GHCH Montesano ClinicMontesano, WA, CCN 508575 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 16, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Apr 16, 2018 Change of OwnershipThis provider was the buyer GHCH Physician Services, LLCCCN 503919, WA, NPI 1518337104

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1821573965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201006",
            "telephone_number": "360-537-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "NIALL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "360-537-5145"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100366800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHCH Aberdeen East Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GHCH Aberdeen East Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.