GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
NPI 1699720797
Clinic/Center - Federally Qualified Health Center (FQHC) in Mattawa, WA
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 1699720797), 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 May 2006. The organization lists Dana S Fox, Ceo/executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 6
Group Practice 1
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)
Grant County Public Hospital District No 5 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 Grant County Public Hospital District No 5, 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 1699720797. It was assigned to this organization in the NPPES registry on May 24, 2006. 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 210 Government Road, 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.
What insurance does Grant County Public Hospital District No 5 accept?
Health plans from Ambetter Health and 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 16 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.
# Grant County Public Hospital District No 5 · NPI 1699720797
Federally Qualified Health Center (FQHC) organization in Mattawa, Washington. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1699720797 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Mattawa Community Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dana Fox, CEO/EXECUTIVE DIRECTOR
## Practice location
- **Address:** 210 GOVERNMENT ROAD, Mattawa, WA 99349-0960
- **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:** June 4, 2025
- **Other identifiers:** Other 7035611 (WA); Other 67850 (WA); Other 501944 (WA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699720797) · Data from the CMS NPPES public registry.