NPIMap

Organization Active NPI

Public Hospital District No 4 King County Washington

Doing business as Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
National Provider Identifier
1902846546
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-195 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
Doing business as
Snoqualmie Valley Hospital
Practice address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone
(425) 831-2300
Fax
(425) 831-2361
NPI assigned
Jun 8, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Barbi Donovan
Title
MSS & Pe Manager
Phone
(425) 831-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-195 WA Primary

Addresses

Primary practice location

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200

Mailing address

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2300

Other identifiers 4

IdentifierTypeStateIssuer
4219515MedicaidWA
3300464OtherWAMEDICAID FACILITY PIN CAH
7116197MedicaidWA
7137557MedicaidWA

Other names 1

  • Snoqualmie Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040211001236 WA Part B Supplier - Clinic/Group Practice 6002700861 Receives reassigned benefits from 173 practitioners
1 other NPI on this enrollment
Practice locations: Snoqualmie, WA
O20061104000416 WA Part A Provider - Critical Access Hospital 6002700861 Receives reassigned benefits from 149 practitioners
Practice locations: Snoqualmie, WA
O20070911000784 WA Part A Provider - Critical Access Hospital 6002700861 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Snoqualmie, WA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902846546. Details of each certification follow.

Hospital certification: CCN 501338

Legal name
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
Doing business as
SNOQUALMIE VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
Jun 28, 2024
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Main/Primary Hospital Location

Hospital certification: CCN 50Z338

Legal name
PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
Doing business as
SNOQUALMIE VALLEY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 3

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
Snoqualmie Valley HospitalCCN 501338 · 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

Locations

35020 SE Kinsey St
Snoqualmie, WA 98065
Phone (425) 396-7682

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Renee K Jensen Individual Corporate OfficerCeo Nov 30, 2020 5%
W-2 Managing EmployeeCeo Nov 30, 2020 5%
W-2 Managing EmployeeCeo Nov 30, 2020 4%
Karyn Denton Individual Corporate OfficerCoo Jun 17, 2019 5%
W-2 Managing EmployeeCoo Jun 17, 2019 5%
Corporate OfficerCoo Jun 19, 2019 5%
W-2 Managing EmployeeCoo Jun 19, 2019 5%
Shay Rullan Individual W-2 Managing Employee Jan 16, 2023
Public Hospital District No 4 King County Washington Organization, Snoqualmie, WA Non-profit Other Dec 31, 2005 100%
Other Jan 1, 1973 100%
James Patrick Ritter Individual Corporate OfficerCfo Dec 1, 2019 5%
W-2 Managing EmployeeCfo May 1, 2014 5%
Barbi Donovan Individual Corporate DirectorDirector Medical Staff Services Dec 1, 2005 5%
W-2 Managing EmployeeDirector Medical Staff Services Dec 1, 2005 5%
Tammy H Moore Individual W-2 Managing EmployeeVP Strategic Growth & Transformatio Aug 23, 2021 5%
Rachel E Thompson Individual Corporate OfficerCmo Feb 1, 2021 5%
W-2 Managing EmployeeCmo Feb 1, 2021 5%

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
Snoqualmie Valley HospitalSnoqualmie, WA, CCN 50Z338 Hospital Other (100%) Jan 1, 1973
Snoqualmie Valley Hospital ClinicSnoqualmie, WA, CCN 508579 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Snoqualmie Ridge Medical ClinicSnoqualmie, WA, CCN 508580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 313

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 313

Affiliated clinicians 75

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

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1902846546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2300",
            "fax_number": "425-831-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2300",
            "fax_number": "425-831-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "BARBI",
        "authorized_official_title_or_position": "MSS & PE MANAGER",
        "authorized_official_telephone_number": "425-831-2321"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4219515",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FACILITY PIN CAH",
            "identifier": "3300464",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116197",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7137557",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snoqualmie Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.