NPIMap

Organization Active NPI

Harney District Hospital

Doing business as Harney District Hospital Family Care

  • Rural Health Clinic/Center
  • Burns, OR
National Provider Identifier
1013276195
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HARNEY DISTRICT HOSPITAL
Doing business as
Harney District Hospital Family Care
Practice address
559 W Washington St
Burns, OR 97720-1441
Phone
(541) 573-2074
Fax
(541) 573-8893
NPI assigned
May 10, 2012
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HARNEY DISTRICT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erik H Olsen
Title
Director
Phone
(541) 573-2074

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

559 W Washington St
Burns, OR 97720-1441

Mailing address

559 W Washington St
Burns, OR 97720-1441
Phone (541) 573-2074

Other names 1

  • Harney District Hospital Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040528000077 OR Part B Supplier - Clinic/Group Practice 6800877424 Receives reassigned benefits from 88 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burns, OR; Hines, OR; John Day, OR
O20130425000360 OR Part A Provider - Rural Health Clinic 6800877424 Practice locations: Burns, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013276195. Details of each certification follow.

Rural health clinic certification: CCN 388512

Legal name
HARNEY DISTRICT HOSPITAL
Doing business as
HARNEY DISTRICT HOSPITAL FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 3, 2013
Last certification
Jul 26, 2021
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1990 in OR
Enrollment address
559 W Washington St
Burns, OR 97720-1441
Related CCNs
381307

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0687457Harney District Hospital Family Care559 W Washington St, Burns, OR 97720Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harney District Hospita4 organizations share this tax ID, including this one
Part of
Harney District Hospita

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Brown Individual Corporate DirectorBoard of Directors Member Feb 25, 2013
Anna C Vloedman Individual Corporate DirectorBoard of Directors Member Feb 25, 2013
Dave Ferre Individual Corporate DirectorBoard Member Jul 1, 2019
Daniel W Grigg Individual Corporate OfficerCeo Jul 1, 2015 100%
W-2 Managing EmployeeCeo Jan 13, 2016
Shana Withee Individual Corporate DirectorBoard Member Jul 1, 2015 100%
Sharon J Davis Individual Corporate DirectorBoard Chairman Aug 26, 2015
Harney District Hospital Organization, Burns, OR Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2013 100%
Catherine White Individual Corporate OfficerCfo Feb 25, 2013
Heidi R Vanyo Individual Corporate DirectorMedical Director May 1, 2020
Susan Doverspike Individual Corporate DirectorBoard Member Feb 1, 2013 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harney District HospitalBurns, OR, CCN 381307 Hospital Operational/Managerial Control (100%) Jul 1, 1990
Harney District HospitalBurns, OR, CCN 38Z307 Hospital Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1013276195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-2074",
            "fax_number": "541-573-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-2074",
            "fax_number": "541-573-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNEY DISTRICT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARNEY DISTRICT HOSPITAL",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-573-2074"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harney District Hospital Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harney District Hospital Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burns, OR

Sources for this page

Verify at the official NPI Registry.