Selah Medical Center Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

OP00001024 Issued in WA

Legal business name

SELAH MEDICAL CENTER INC.

Practice address

9 E 1St Ave
Suite 4
Selah, WA 98942-1400

Phone

(509) 697-8008

Fax

(509) 697-9872

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William T Cox, D.O.NPI 1184717936

Title

President

Phone

(509) 697-8008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• William T Cox, DO

  • Family Medicine Physician
  • Selah, WA
  • NPI 1184717936
  Medicare reassignment NPD Authorized official
• Lisa Marie Benton, ARNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1487933545

  WA

  Medicare reassignment NPD
• Tonjia Lee Jones, A.R.N.P.

  • Primary Care Nurse Practitioner
  • Selah, WA
  • NPI 1790985869
  Medicare reassignment
• Linda Welch, D.O., P.A.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1720027204
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1902983174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 1ST AVE",
            "address_2": "SUITE 4",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421400",
            "telephone_number": "509-697-8008",
            "fax_number": "509-697-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 1ST AVE",
            "address_2": "SUITE 4",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421400",
            "telephone_number": "509-697-8008",
            "fax_number": "509-697-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-697-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "OP00001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Schut, PHARMD
• Courtney Seagren, LMT
• Susan Sears, PTA
• Selah Convalescent, Inc.
• Selah Family Chiropractic P.S.
• Selah School District
• Selah Vision Source, PLLC (Selah Vision Clinic)
• Selah's Smiles Dental, LLC
• Diana Smigaj, M.D.
• Avena M Smith

• Multi-Specialty Clinic/Center in Selah, WA
• Providers in Selah, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.