NPIMap

Organization Active NPI

Grant County Public Hospital District 2

Doing business as Quincy Valley Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Quincy, WA
National Provider Identifier
1962576777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
H129 Issued in WA
Legal business name
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
Quincy Valley Medical Center
Practice address
908 10TH Ave SW
Quincy, WA 98848-1376
Phone
(509) 787-3531
Fax
(509) 787-2016
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mehdi Merred
Title
Ceo
Phone
(509) 787-5346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X H129 WA Primary

Addresses

Primary practice location

908 10TH Ave SW
Quincy, WA 98848-1376

Mailing address

908 10TH Ave SW
Quincy, WA 98848-1376
Phone (509) 787-3531

Other identifiers 1

IdentifierTypeStateIssuer
4212908MedicaidWA

Other names 1

  • Quincy Valley Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quincy Valley Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962576777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRED",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-787-5346"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "H129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4212908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.