Organization Active NPI

Public Hospital District No 3 of Whitman County

Doing business as Whitman Hospital & Medical Center

  • Critical Access Hospital
  • Colfax, WA
National Provider Identifier
1922009448
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
Doing business as
Whitman Hospital & Medical Center
Whitman Hospital & Medical Clinics
Practice address
1200 W Fairview Rd
Colfax, WA 99111-9552
Phone
(509) 397-3435
Fax
(509) 397-4713
NPI assigned
Aug 9, 2005
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Abby Smith
Title
Cfo
Phone
(509) 397-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

1200 W Fairview Rd
Colfax, WA 99111-9552

Mailing address

1200 W Fairview Rd
Colfax, WA 99111-9552
Phone (509) 397-3435

Other names 2

  • Whitman Hospital & Medical Center Doing business as
  • Whitman Hospital & Medical Clinics Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000090 WA Part B Supplier - Clinic/Group Practice 7719875020 Receives reassigned benefits from 69 practitioners
Practice locations: Colfax, WA; Garfield, WA; Saint John, WA; Tekoa, WA
O20080212000301 WA Part A Provider - Critical Access Hospital 7719875020 Receives reassigned benefits from 85 practitioners
Practice locations: Colfax, WA; Saint John, WA; Tekoa, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922009448. Details of each certification follow.

Hospital certification: CCN 501327

Legal name
PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
Doing business as
WHITMAN HOSPITAL & MEDICAL CLINICS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2003
Last certification
Feb 10, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Enrollment address
1200 W Fairview St
Colfax, WA 99111-9552
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Whitman Hospital and Medical CenterCCN 501327 · All quality measures
Overall star rating
5 of 5
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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1055 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

1200 W Fairview St
#B
Colfax, WA 99111
Phone 5093973435551

8 W Front St
Saint John, WA 99171
Phone (509) 648-3331

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
George H Hanigan Individual Corporate Officer Apr 13, 2015
Abby Jo Smith Individual Corporate OfficerChief Financial Officer Mar 6, 2018
Integra Imaging Business Associates LLC Organization, Spokane, WA LLC Operational/Managerial Control Apr 1, 2013
Patricia Hinnenkamp Individual W-2 Managing Employee Dec 6, 2004
Jana Symonds Individual W-2 Managing EmployeeRevenue Cycle Director Sep 27, 2021

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Whitman Hospital and Medical CenterColfax, WA, CCN 50Z327 Hospital 5% Or Greater Direct Ownership Interest Sep 14, 2010

Owned or controlled facilities with NPI records 1

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

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 91

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 91

Affiliated clinicians 83

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

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1922009448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W FAIRVIEW RD",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-3435",
            "fax_number": "509-397-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W FAIRVIEW RD",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-3435",
            "fax_number": "509-397-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-397-5755"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitman Hospital & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitman Hospital & Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.