POMEROY MEDICAL CLINIC
NPI 1114028693
Clinic/Center - Rural Health in Pomeroy, WA

Active since September 26, 2006CLIA 50D1044707 · Waiver
446 PATAHA ST, POMEROY, WA 99347(509) 843-1491(509) 843-1740 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pomeroy Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POMEROY MEDICAL CLINIC (NPI 1114028693) is a healthcare organization registered as a rural health in Pomeroy, Washington and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Hollie Winslow, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114028693
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Location Address446 PATAHA STPomeroy, WA 99347-8634
Mailing Address66 N 6th StPomeroy, WA 99347-9705 · (509) 843-1491 · Fax (509) 843-1740
Fax(509) 843-1740
Organization SubpartYesParent: Garfield County Public Hospital District #1
Authorized OfficialHollie WinslowBusiness Office Manager · (509) 566-4147
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1114028693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in WA · 503982
446 PATAHA ST, Pomeroy, WA 99347

Other Names 1

Other NamePomeroy Medical Clinic

Other Identifiers 2

Medicaid7023161WA
Other7105463WA · Medica Rural Health Enco

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pomeroy Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Pomeroy Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Family Practice4
Nephrology3
Cardiovascular Disease (Cardiology)1
Infectious Disease1

Clinicians, nearest first (16)

Family Practice
NPI 1720668585
446 PATAHA ST
Pomeroy, WA 99347
(509) 843-1491
✔ PECOSSame address
Family Practice
NPI 1154334670
1012 S 3RD ST
Dayton, WA 99328
(509) 382-3200
✔ PECOS21 mi
Cardiovascular Disease (Cardiology)
NPI 1922057454
825 SE BISHOP BLVD STE 140
Pullman, WA 99163
(509) 336-7577
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1649295866
1522 17TH ST
Lewiston, ID 83501
(208) 743-8416
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1508513789
507 N 4TH AVE
Pasco, WA 99301
(509) 416-8880
✔ PECOS73 mi
Nurse Practitioner
NPI 1558600015
510 E AMENDE DR
Odessa, WA 99159
(509) 982-2614
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1396247417
1530 PILGRIM ST
Moses Lake, WA 98837
(509) 855-2847
✔ PECOS✔ Accepts Medicare90 mi
Family Practice
NPI 1437405792
605 S. COOLIDGE STREET
Moses Lake, WA 98837
(509) 765-0674
✔ PECOS✔ Accepts Medicare91 mi
Nurse Practitioner
NPI 1821419557
3820 17TH ST
Baker City, OR 97814
(541) 523-4465
✔ PECOS117 mi
Infectious Disease
NPI 1740382670
1628 S MILDRED ST STE 104
Tacoma, WA 98465
(253) 301-5640
✔ PECOS✔ Accepts Medicare239 mi
Nephrology
NPI 1255536181
19300 SW 65TH AVE
Tualatin, OR 97062
(503) 692-1212
✔ PECOS259 mi
Nephrology
NPI 1972571024
730 SE OAK ST STE I
Hillsboro, OR 97123
(034) 300-4975
✔ PECOS✔ Accepts Medicare267 mi
Nephrology
NPI 1518288893
410 BIRCHWOOD AVE STE 200
Bellingham, WA 98225
(360) 554-2501
✔ PECOS278 mi
Nurse Practitioner
NPI 1083702948
1300 S GREGG ST SUITE A
Big Spring, TX 79720
(432) 264-0414
✔ PECOS1,303 mi
Nurse Practitioner
NPI 1871060053
2999 OLYMPUS BLVD STE 500
Dallas, TX 75019
(800) 685-2272
✔ PECOS✔ Accepts Medicare1,434 mi
Nurse Practitioner
NPI 1114120680
222 SIDNEY BAKER ST S STE 500
Kerrville, TX 78028
(830) 895-7675
✔ PECOS✔ Accepts Medicare1,506 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1044707

Pomeroy Medical Clinic · Pomeroy, WA
Active · expires Apr 4, 2028
CLIA Number50D1044707
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 25, 2005
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPark A. Yongmoon
Laboratory Phone(509) 843-1491
Laboratory LocationPomeroy Medical Clinic446 Pataha St, Pomeroy, WA 99347
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Garfield County Memorial Hospital District's NPI number?

The NPI number for Garfield County Memorial Hospital District is 1114028693. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is also known as Pomeroy Medical Clinic.

Where is Garfield County Memorial Hospital District located?

Garfield County Memorial Hospital District is located at 446 Pataha St, Pomeroy, WA 99347. The listed phone number is (509) 843-1491.

What is Garfield County Memorial Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Garfield County Memorial Hospital District enrolled in Medicare?

Yes. Garfield County Memorial Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garfield County Memorial Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Garfield County Memorial Hospital District. 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 (7), Family Practice (4) and Nephrology (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Garfield County Memorial Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1044707) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Garfield County Memorial Hospital District accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Garfield County Memorial Hospital District 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 Garfield County Memorial Hospital District was last updated on October 25, 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.