TRI-STATE MEMORIAL HOSPITAL
NPI 1760485221
General Acute Care Hospital - Critical Access in Clarkston, WA
About Tri-state Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE MEMORIAL HOSPITAL (NPI 1760485221) is a healthcare organization registered as a critical access in Clarkston, Washington and active in the NPI registry since May 2005. The organization lists Alex C Town, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
143Medicare enrollment records show 143 clinicians reassign Medicare billing to Tri-State Memorial Hospital, which bills Medicare for the services they deliver. Of these, 39 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 143Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Tri-State Memorial Hospital (CMS certification number 501332), from CMS Care Compare.
Tri-State Memorial Hospital
Critical Access Hospitals · Clarkston, WAPatient Experience
HCAHPS patient survey · Jan 2023 – Dec 2023Complications & Deaths 6
Unplanned Hospital Visits 13
Timely & Effective Care 9
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 1760485221. It was assigned to this organization in the NPPES registry on May 27, 2005.
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), 143 clinicians in 26 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 Certified Registered Nurse Anesthetist (CRNA) (17), Nurse Practitioner (17) and Psychiatry (14). Of these, 39 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Tri-State Memorial Hospital a Medicare-certified hospital?
Yes. Tri-State Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.
What quality rating does Tri-State Memorial Hospital have?
CMS rates Tri-State Memorial Hospital 3 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.
What insurance does Tri-State Memorial Hospital accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Tri-State Memorial Hospital · NPI 1760485221
Critical Access organization in Clarkston, Washington. Organization record, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1760485221 (Entity type: Organization)
- **Enumerated:** May 27, 2005
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Organization subpart:** No
- **Authorized official:** Alex Town, CFO
## Practice location
- **Address:** 1221 HIGHLAND AVE, Clarkston, WA 99403-2829
- **Phone:** (509) 758-5511 · **Fax:** (509) 751-9406
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 143 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (17), Nurse Practitioner (17), Psychiatry (14); 39 practice within 10 miles; [full list](https://npiprofile.com/npi/1760485221/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2011
- **Other identifiers:** Medicaid 003110900 (ID); Medicare PIN 1377710 (ID); Other 00620; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760485221) · Data from the CMS NPPES public registry.