Public Hospital District No 3 of Whitman County
Organization Active NPI Critical Access Hospital · Colfax, WA
NPI 1922009448 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1922009448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
- Practice address
- 1200 W Fairview Rd
Colfax, WA 99111-9552 - Phone
- (509) 397-3435
- Fax
- (509) 397-4713
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Abby Smith
- Title
- Cfo
- Phone
- (509) 397-5755
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 1
Member organizations 3
Related certifications (CCN) 1
Practitioners 91
-
Tristan T Berry, M.D.
-
Sarah L Fielding, MD
-
Mark Houghton, ARNP
-
Erin Kroll, NP
-
Mark E Parsons, MD
-
Adam Simmons, DPM
-
Govind Singh, M.D.
-
Jaime Mellor Vantine, FNP-C
-
Leilani C Weaver, ARNP
-
James K Brannon, M.D.
-
Jon R Pirrello, M. D.
-
Joshua Levi Mayfield, PA-C
-
Amanda Louise Affleck, CRNA
-
Mary Anna Chiu, M.D.
-
David Philip Frick, D.O.
-
Kristel Hallsson, MD
-
Kyle James Jennings, CRNA-ARNP
Affiliated clinicians 83
-
Mirela Andrei, M.D.
-
Tristan T Berry, M.D.
-
Andrew J Boulet, MD
-
Nelbie Anne Mandac Duran, APRN-CNP
-
Heidi Waldburga Eiseman, M.D.
-
Sarah L Fielding, MD
-
Jordan Christine Forbush, FNP-BC
-
Timothy W Goodrich, D.O.
-
Kristel Hallsson, MD
-
Lia Stewart Head, M.D.
-
Angela K Hoener, PA-C
-
Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS
-
Mark Houghton, ARNP
-
David Andrew Hulet, M.D.
-
Marek Janout, MD
-
Jill L Jenkins, M.D.
Medicare Care Compare: Hospital
- Listed as
- Whitman Hospital and Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
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
- Corporation · Non-profit
- Enrollment address
- 1200 W Fairview St
Colfax, WA 99111-9552
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| George H Hanigan |
Corporate Officer | Apr 13, 2015 | |
| Abby Jo Smith |
Corporate Officer |
Mar 6, 2018 | |
| Integra Imaging Business Associates LLC |
Operational/Managerial Control | Apr 1, 2013 | |
| Patricia Hinnenkamp |
W-2 Managing Employee | Dec 6, 2004 | |
| Jana Symonds |
W-2 Managing Employee |
Sep 27, 2021 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Whitman Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest | Sep 14, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
1210 W Fairview St
Colfax, WA 99111
Phone (509) 397-4717
8 W Front St
Saint John, WA 99171
Phone (509) 648-3331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3365202 | Medicaid | WA |
Other names
- Whitman Hospital & Medical Center
- Whitman Hospital & Medical Clinics
Other providers in Colfax, WA
- Erin Olsen
- Palouse Gastroenterology P.S.
- Mark E Parsons
- Janine Brooke Peca
- Public Hospital District No 3 of Whitman County
- Shelly Jo Quinton
- Robert T Smith DDS
- Robyn Roche-Paull
- Rolling Hills Eyecare, LLC
- Adam Simmons
All providers in Colfax, WA · Critical Access Hospital in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.