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Grant County Public Hospital District 1

Organization Active NPI General Acute Care Hospital · Moses Lake, WA

NPI 1902818883 · NPPES record last updated Mar 7, 2026

Key facts

NPI
1902818883
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
Practice address
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone
(509) 765-5606
Fax
(509) 764-3244
NPI assigned
Aug 12, 2006
Organization subpart
No

Authorized official

Name
Mrs. Theresa Sullivan
Title
Ceo
Phone
(509) 765-5606

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 2

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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

Facilities with the same owner 2

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

Practitioners 181

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

View all 181

Affiliated clinicians 279

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

View all 279

Medicare Care Compare: Hospital

Listed as
Samaritan Hospital CCN 500033
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0872400Samaritan Hospital Laboratory
2000 S Clover Dr, Moses Lake, WA 98837		AccreditationApr 4, 2028
50D0969719Samaritan Hospital Nursing Department
2000 S Clover Dr, Moses Lake, WA 98837		Certificate of waiverApr 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WA

Hospital certification: CCN 500033

Legal name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
Doing business as
SAMARITAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 6, 2024
Beds
50
Ownership / control type
Private (for profit)
Organization structure
Government · Non-profit
Enrollment address
2000 S Clover Dr
Moses Lake, WA 98837-4417
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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
Alexander Town
Individual 		Corporate Officer
Cao		 Sep 1, 2017
W-2 Managing Employee
Cao		 Sep 1, 2017
Theresa Sullivan
Individual 		Corporate Officer
Ceo		 Nov 16, 2014
W-2 Managing Employee
Ceo		 Nov 16, 2014
Grant County Public Hospital District 1
Organization · Moses Lake, WA
Non-profit 		Operational/Managerial Control Nov 27, 2007

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Samaritan Clinic
Moses Lake, WA · CCN 508536		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2004
Samaritan Clinic on Patton
Moses Lake, WA · CCN 508592		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040227000602 WA Part B Supplier - Clinic/Group Practice 9931095692 Receives reassigned benefits from 160 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moses Lake, WA
O20080304000387 WA Part a Provider - Hospital 9931095692 Practice locations: Moses Lake, WA

National Provider Directory

Locations

1616 S Pioneer Way
Moses Lake, WA 98837

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

2000 S Clover Dr
Moses Lake, WA 98837-4417

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715

Other identifiers

IdentifierTypeStateIssuer
1021711MedicaidWA
7068901MedicaidWA
3304805MedicaidWA
7101546MedicaidWA

Other names

  • Samaritan Doing business as
  • Samaritan Healthcare Doing business as
  • Samaritan Hospital Doing business as

Other providers in Moses Lake, WA

All providers in Moses Lake, WA · General Acute Care Hospital in Washington

Sources for this page

Verify at the official NPI Registry.