NPIMap

Organization Active NPI

Grant County Public Hospital District 1

Doing business as Samaritan

  • General Acute Care Hospital
  • Moses Lake, WA
National Provider Identifier
1902818883
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
Doing business as
Samaritan
Samaritan Healthcare
Samaritan Hospital
Practice address
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone
(509) 765-5606
Fax
(509) 764-3244
NPI assigned
Aug 12, 2006
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Alexander Town
Title
Ceo
Phone
(509) 793-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X Primary

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 names 3

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

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902818883. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
2000 S Clover Dr
Moses Lake, WA 98837-4417
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Samaritan HospitalCCN 500033 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
50D0872400Samaritan Hospital Laboratory2000 S Clover Dr, Moses Lake, WA 98837AccreditationApr 4, 2028
50D0969719Samaritan Hospital Nursing Department2000 S Clover Dr, Moses Lake, WA 98837Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

105 W 8th Ave
Ste 100C
Spokane, WA 99204
Phone (509) 455-4455

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
Alexander Town Individual Corporate OfficerCao Sep 1, 2017
W-2 Managing EmployeeCao Sep 1, 2017
Theresa Sullivan Individual Corporate OfficerCeo Nov 16, 2014
W-2 Managing EmployeeCeo Nov 16, 2014
Grant County Public Hospital District 1 Organization, Moses Lake, WA Non-profit Operational/Managerial Control Nov 27, 2007

Owners & managing parties with NPI records 2

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

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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

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.

Practitioners & affiliated clinicians

Practitioners 146

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.

View all 146

Affiliated clinicians 279

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

View all 279

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1902818883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S CLOVER DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374417",
            "telephone_number": "509-765-5606",
            "fax_number": "509-764-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "TOWN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-793-9600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.