MIRAMAR HEALTH CENTER KENNEWICK – Federally Qualified Health Center (FQHC), NPI 1861097115

MIRAMAR HEALTH CENTER KENNEWICK is a healthcare provider. based in Toppenish, Washington. specializing in Federally Qualified Health Center (FQHC). The NPI Number for MIRAMAR HEALTH CENTER KENNEWICK is 1861097115

Main info

Organization
Name
MIRAMAR HEALTH CENTER KENNEWICK
NPI
1861097115
Phone
(509) 865-6175
Address
PO BOX 190
Authorized Official
CHRISTINE TROTTER CHIEF EXECUTIVE OFFICER
Enumeration Date
3 December 2020
Last Update Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for MIRAMAR HEALTH CENTER KENNEWICK

  • PO BOX 190

    TOPPENISH, WA 989480190

    Phone: (509) 865-6175

    Fax: (509) 865-2139

    Type: Mailing

  • 6351 RIO GRANDE AVENUE

    KENNEWICK, WA 993367634

    Phone: (509) 865-6175

    Fax: (509) 865-2139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (22 days away).

Enrollment records

1

Earliest due date

2026-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210526000697OFederally Qualified Health Center (Fqhc)WA2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98948)

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Reviews

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Frequently asked questions

Can I verify MIRAMAR HEALTH CENTER KENNEWICK with an NPI only?
You can start verification with NPI 1861097115 for MIRAMAR HEALTH CENTER KENNEWICK, then check state licensing separately.
Does the file indicate MIRAMAR HEALTH CENTER KENNEWICK is practicing under active NPI?
Directory data currently reports MIRAMAR HEALTH CENTER KENNEWICK as active.
What is MIRAMAR HEALTH CENTER KENNEWICK's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for MIRAMAR HEALTH CENTER KENNEWICK here. Clinical services aligned with this taxonomy classification.
Does MIRAMAR HEALTH CENTER KENNEWICK list a practice location?
Patients near Toppenish, Washington may find MIRAMAR HEALTH CENTER KENNEWICK in results; validate coverage separately.
Is the information about MIRAMAR HEALTH CENTER KENNEWICK up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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