MATTAWA COMMUNITY MEDICAL CLINIC
NPI 1013743210
Clinic/Center - Federally Qualified Health Center (FQHC) in Mattawa, WA
About Mattawa Community Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTAWA COMMUNITY MEDICAL CLINIC (NPI 1013743210) is a healthcare organization registered as a federally qualified health center (fqhc) in Mattawa, Washington and active in the NPI registry since September 2024. The organization lists Dana S Fox, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mattawa Community Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mattawa Community Medical Clinic, which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grant County Public Hospital District No 5's NPI number?
The NPI number for Grant County Public Hospital District No 5 is 1013743210. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as Mattawa Community Medical Clinic.
Where is Grant County Public Hospital District No 5 located?
Grant County Public Hospital District No 5 is located at 206 Government Rd, Mattawa, WA 99349. The listed phone number is (509) 932-4499.
What is Grant County Public Hospital District No 5's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Grant County Public Hospital District No 5 enrolled in Medicare?
Yes. Grant County Public Hospital District No 5 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grant County Public Hospital District No 5?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Grant County Public Hospital District No 5. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Dentist (1) and Family Practice (1). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grant County Public Hospital District No 5 was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mattawa Community Medical Clinic · NPI 1013743210
Federally Qualified Health Center (FQHC) organization in Mattawa, Washington. Organization record, active in the CMS NPPES registry since September 12, 2024.
## Identity
- **NPI:** 1013743210 (Entity type: Organization)
- **Enumerated:** September 12, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Grant County Public Hospital District No 5
- **Organization subpart:** No
- **Authorized official:** Dana Fox, CEO
## Practice location
- **Address:** 206 GOVERNMENT RD, Mattawa, WA 99349-5116
- **Phone:** (509) 932-4499 · **Fax:** (509) 932-5363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Dentist (1), Family Practice (1); 10 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013743210) · Data from the CMS NPPES public registry.