WASHTUCNA MEDICAL CLINIC
NPI 1104849058
Family Medicine in Washtucna, WA
About Washtucna Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WASHTUCNA MEDICAL CLINIC (NPI 1104849058) is a healthcare organization registered as a family medicine in Washtucna, Washington and active in the NPI registry since July 2006. The organization lists Tamra Combs, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Washtucna Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Washtucna Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 Adams County Hospital 2's NPI number?
The NPI number for Adams County Hospital 2 is 1104849058. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Washtucna Medical Clinic.
Where is Adams County Hospital 2 located?
Adams County Hospital 2 is located at 545 SE Church Street, Washtucna, WA 99371. The listed phone number is (509) 646-3290.
What is Adams County Hospital 2's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adams County Hospital 2 enrolled in Medicare?
Yes. Adams County Hospital 2 is registered in the Medicare PECOS enrollment system.
When is Adams County Hospital 2's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Adams County Hospital 2?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Adams County Hospital 2. 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 (8), Certified Registered Nurse Anesthetist (CRNA) (2) and Clinical Psychologist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Adams County Hospital 2 accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Adams County Hospital 2 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Adams County Hospital 2 was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Washtucna Medical Clinic · NPI 1104849058
Family Medicine organization in Washtucna, Washington. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1104849058 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Adams County Hospital 2
- **Organization subpart:** No
- **Authorized official:** Tamra Combs, CREDENTIALING
## Practice location
- **Address:** 545 SE CHURCH STREET, Washtucna, WA 99371
- **Phone:** (509) 646-3290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Certified Registered Nurse Anesthetist (CRNA) (2), Clinical Psychologist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2024
- **Other identifiers:** Other 508542; Medicaid 8157364 (WA); Other 0050906 (WA); and 5 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1104849058) · Data from the CMS NPPES public registry.