Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Astria Sunnyside Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW MATHIESEN (CFO)
(509) 837-1655
Entity
Organization
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944
(509) 837-1500
(509) 837-1533
Mailing address
P.O. BOX 719, SUNNYSIDE, WA 98944
(509) 837-1500
(509) 837-1533
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
WA
282NC0060X
Critical Access Hospital
Primary
600 581 630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10250
LABOR & INDUSTRIES
WA
01
—
147
PREMERA BLUE CROSS
WA
05
—
3300076
—
WA
01
—
SU9354
REGENCE BLUE SHIELD
WA
Enumeration date
06/20/2005
Last updated
10/10/2024
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