TRI-STATE MEMORIAL HOSPITAL
NPI 1598814352
General Acute Care Hospital - Critical Access in Clarkston, WA

Active since January 10, 2007
1221 HIGHLAND AVE, CLARKSTON, WA 99403(509) 758-5511(509) 751-9406 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tri-state Memorial Hospital NPPES

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

TRI-STATE MEMORIAL HOSPITAL (NPI 1598814352) is a healthcare organization registered as a critical access in Clarkston, Washington and active in the NPI registry since January 2007. The organization lists Alex C Town, Cfo, as its authorized official.

NPPES Registry Identity

NPI1598814352
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameTRI-STATE MEMORIAL HOSPITAL
Location Address1221 HIGHLAND AVEClarkston, WA 99403-2829
Mailing Address1221 Highland AveClarkston, WA 99403-2829 · (509) 758-5511 · Fax (509) 751-9406
Fax(509) 751-9406
Organization SubpartYes
Authorized OfficialAlex C TownCfo · (509) 758-4667
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 5, 2013
✔ NPI 1598814352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Taxonomy Code282NC0060X
License✔ Licensed in WA · H-108
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
1221 HIGHLAND AVE, Clarkston, WA 99403

Other Identifiers 8

Other000010142729ID · Regence Blue Sheild
Other0082114WA · Labor And Industries
Medicare ID-Type Unspecified000301649WA · Noridian
Medicare OSCAR/certification1377310ID
Medicaid007032733WA
Medicaid003111000ID
Other8K289ID · Blue Cross Of Idaho
Medicare OSCAR/certification000301649WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Tri-state Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

146

Medicare enrollment records show 146 clinicians reassign Medicare billing to Tri-State Memorial Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Nurse Practitioner22
Certified Registered Nurse Anesthetist (CRNA)20
Psychiatry16
Emergency Medicine12
Pulmonary Disease10
Diagnostic Radiology9
Internal Medicine8
Family Practice7
17 other specialties42

Nearest to this location (20)

See all 146
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447598214
1221 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093584732
1221 HIGHLAND AVE
Clarkston, WA 99403
(253) 867-7777
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629747829
1221 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2201
✔ PECOSSame address
Nurse Practitioner
NPI 1740994268
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2269
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1295840270
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1003110321
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS0.1 mi
Podiatry
NPI 1861832818
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1841975687
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1679504559
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1225067069
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2269
✔ PECOS0.1 mi
Diagnostic Radiology
NPI 1942251376
1254 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-6132
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1104856087
1207 EVERGREEN CT
Clarkston, WA 99403
(509) 769-2255
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1366407942
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ PECOS✔ Accepts Medicare0.1 mi
Pain Management
NPI 1912917618
1119 HIGHLAND AVE STE 11
Clarkston, WA 99403
(509) 780-4450
✔ PECOS0.1 mi
Family Practice
NPI 1992152326
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-1450
✔ PECOS0.1 mi
Family Practice
NPI 1598393902
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-4450
✔ PECOS0.1 mi
General Surgery
NPI 1063941672
1119 HIGHLAND AVE STE 4
Clarkston, WA 99403
(509) 254-2722
✔ PECOS0.1 mi
Podiatry
NPI 1154662948
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1730744988
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1821193582
1271 HIGHLAND AVE STE B
Clarkston, WA 99403
(509) 769-2201
✔ PECOS✔ Accepts Medicare0.1 mi
See all 146 clinicians

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 Tri-State Memorial Hospital's NPI number?

The NPI number for Tri-State Memorial Hospital is 1598814352. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Tri-State Memorial Hospital located?

Tri-State Memorial Hospital is located at 1221 Highland Ave, Clarkston, WA 99403. The listed phone number is (509) 758-5511.

What is Tri-State Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Tri-State Memorial Hospital enrolled in Medicare?

Yes. Tri-State Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 25 Medicare specialties reassign their Medicare billing to Tri-State Memorial Hospital. 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 (22), Certified Registered Nurse Anesthetist (CRNA) (20) and Psychiatry (16). Of these, 3 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tri-State Memorial Hospital accept?

Health plans from Ambetter Health, Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Tri-State Memorial Hospital 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 Tri-State Memorial Hospital was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.