NPIMap

Organization Active NPI

Grant County Public Hospital District 2

Doing business as Quincy Valley Medical Center

  • Land Ambulance
  • Quincy, WA
National Provider Identifier
1851465660
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13X03 Issued in WA
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
Quincy Valley Medical Center
Practice address
908 10TH Ave SW
Quincy, WA 98848-1376
Phone
(509) 787-3531
Fax
(509) 787-2016
NPI assigned
Nov 20, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mehdi Merred
Title
Ceo
Phone
(509) 787-5346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13X03 WA Primary

Addresses

Primary practice location

908 10TH Ave SW
Quincy, WA 98848-1376

Mailing address

908 10TH Ave SW
Quincy, WA 98848-1376
Phone (509) 787-3531

Other names 1

  • Quincy Valley Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000156 WA Part A Provider - Critical Access Hospital 8921919077 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Quincy, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851465660. Details of each certification follow.

Hospital certification: CCN 501320

Legal name
GRANT COUNTY HOSPITAL DISTRICT NO. 2
Doing business as
QUINCY VALLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2002
Last certification
Aug 25, 2021
Beds
29 (25 certified)
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
in WA
Enrollment address
908 10TH Ave SW
Quincy, WA 98848-1376
Other Hospital Practice Location

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Quincy Valley Medical CenterCCN 501320 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Quincy Valley Ambulance6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Glenda L Bishop Individual Contracted Managing EmployeeCeo Jul 1, 2017 100%
Corporate OfficerCeo Jul 1, 2017 100%
Corporate DirectorCeo Jul 1, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1851465660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MERRED",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-787-5346"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "13X03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, WA

Sources for this page

Verify at the official NPI Registry.