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GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
NPI 1609410075
Clinic/Center - Federally Qualified Health Center (FQHC) in Mattawa, WA

Active since October 29, 2019
101 S WILLIAM AVE, MATTAWA, WA 99349(509) 932-4499(509) 932-5363 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Dec 12, 2024, Dec 4, 2024 and 3 more (6 updates tracked since 2019).

About Grant County Public Hospital District No 5 NPPES

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

GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5 (NPI 1609410075), doing business as Mattawa Community Medical Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Mattawa, Washington and active in the NPI registry since October 2019. The organization lists Dana S Fox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609410075
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
Location Address101 S WILLIAM AVEMattawa, WA 99349-0104
Mailing Address210 Government RdMattawa, WA 99349-5116 · (509) 932-4499 · Fax (509) 932-5363
Phone(509) 932-4499
Fax(509) 932-5363
Organization SubpartYesParent: Grant County Public Hospital District No. 5
Authorized OfficialDana S FoxCeo · (509) 932-4499
Enumeration DateOctober 29, 2019
Last NPPES UpdateJune 4, 20256 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1609410075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
101 S WILLIAM AVE, Mattawa, WA 99349
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Other Names 1

Doing Business AsMattawa Community Medical Clinic

Other Identifiers 1

Medicaid1699720797WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSILYN BROOK BAUGHER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
101 S WILLIAM AVE
MATTAWA, WA 99349
Grant County (509) 932-4499

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 1609410075. It was assigned to this organization in the NPPES registry on October 29, 2019. 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 101 S William Ave, 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.

What insurance does Grant County Public Hospital District No 5 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Grant County Public Hospital District No 5 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 Grant County Public Hospital District No 5 was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.