NPIMap

Organization Active NPI

Sunnyside Community Hospital Association

Doing business as Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
National Provider Identifier
1851397426
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Astria Health Center
Practice address
1812 E Edison Ave
Sunnyside, WA 98944
Phone
(509) 837-4949
Fax
(509) 837-2808
NPI assigned
Jun 28, 2005
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Maxwell Owens
Title
Cfo
Phone
(509) 837-1379

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Internal Medicine Physician 207R00000X NU
Neurological Surgery Physician 207T00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Occupational Medicine Physician 2083X0100X NU
Podiatrist 213E00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1812 E Edison Ave
Sunnyside, WA 98944

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-4949

Other names 1

  • Astria Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000194 WA Part B Supplier - Clinic/Group Practice 1658280896 Receives reassigned benefits from 139 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zillah, WA; Yakima, WA; Union Gap, WA; Toppenish, WA; Sunnyside, WA; Prosser, WA; Grandview, WA
O20070430000513 WA Part A Provider - Rural Health Clinic 1658280896 Practice locations: Sunnyside, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851397426. Details of each certification follow.

Rural health clinic certification: CCN 508546

Legal name
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as
ASTRIA HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 24, 2008
Last certification
May 27, 2014
Ownership / control type
2A
Organization structure
CorporationNon-profit
Enrollment address
1812 E Edison Ave
Sunnyside, WA 98944-0000
Related CCNs
501330

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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 30

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

View all 30

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1051286Astria Health Center1812 Edison Ave, Sunnyside, WA 98944Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Brian P Gibbons Individual Corporate OfficerCeo May 12, 2017
Corporate DirectorCeo May 12, 2017
W-2 Managing EmployeeCeo Jan 1, 2020
Castulo T Arteaga Individual Corporate DirectorVice Chairperson Jan 1, 2021
Peggy I Brewer Individual Corporate DirectorChairperson Jan 1, 2021
Christina Rivas Individual Corporate DirectorBoard Member Jan 1, 2021
Astria Health Organization, Sunnyside, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Operational/Managerial Control May 12, 2017 100%
Asusena Fonseca Individual Corporate DirectorBoard Member Jan 1, 2021

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Astria Sunnyside HospitalSunnyside, WA, CCN 501330 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Home HealthSunnyside, WA, CCN 507126 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 21, 2016
Nov 21, 2016
Astria Health CenterSunnyside, WA, CCN 508538 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 27, 2012
Astria Urgent Care CenterProsser, WA, CCN 508570 Rural health clinic Operational/Managerial Control (100%) Nov 12, 1985

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1851397426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-4949",
            "fax_number": "509-837-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-837-4949",
            "fax_number": "509-837-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-837-1379"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astria Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.