MEDICARE: SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	207R00000X	Internal Medicine Physician
3	207T00000X	Neurological Surgery Physician
4	207X00000X	Orthopaedic Surgery Physician
5	2083X0100X	Occupational Medicine Physician
6	213E00000X	Podiatrist
7	363A00000X	Physician Assistant
8	363L00000X	Nurse Practitioner
9	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1851397426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 719
Second Line	:
City	:	SUNNYSIDE
State	:	WA
Zip	:	98944-0719
Country	:	US
Telephone Number	:	509-837-4949
Fax Number	:	509-837-2808

Provider Business Practice Location Address
First Line	:	1812 E EDISON AVE
Second Line	:
City	:	SUNNYSIDE
State	:	WA
Zip	:	98944
Country	:	US
Telephone Number	:	509-837-4949
Fax Number	:	509-837-2808

Authorized Official
Title or Position	:	CFO
Name	:	MAXWELL OWENS
Credential	:
Telephone Number	:	509-837-1379

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/19/2023

Similar Medicare Providers

1265435218 — CAREY LEEDS M.D.
Practice Location Address:

803 E LINCOLN AVE
SUNNYSIDE, WA
98944-2383

Practice Phone: 509-837-1550
Practice Fax: 509-837-2066

1225033814 — SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

1016 TACOMA AVE
SUNNYSIDE, WA
98944

Practice Phone: 509-837-1500
Practice Fax: 509-837-1533

1255337663 — BRAD A. WARD M.D.
Practice Location Address:

1812 EAST EDISON AVE
SUNNYSIDE, WA
98944

Practice Phone: 509-712-3295
Practice Fax:

1285631598 — MARIE TERESA STANFORD MD
Practice Location Address:

803 E LINCOLN AVE
SUNNYSIDE, WA
98944-2383

Practice Phone: 509-837-6911
Practice Fax: 509-837-6920

1356340624 — CITY OF SUNNYSIDE
Practice Location Address:

513 S 8TH ST
SUNNYSIDE, WA
98944

Practice Phone: 509-837-3999
Practice Fax: 509-836-6419

1891797247 — MR. MARK GARDNER PA-C
Practice Location Address:

803 E LINCOLN AVE STE 3
SUNNYSIDE, WA
98944-2383

Practice Phone: 509-837-7551
Practice Fax:

Directions to “SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.