NPIMap

Organization Active NPI

Reedley Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Reedley, CA
National Provider Identifier
1023634375
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
REEDLEY COMMUNITY HOSPITAL
Practice address
372 W Cypress Ave
Reedley, CA 93654-2113
Phone
(559) 537-0970
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Timothy Haydock
Title
Finance Officer
Phone
(559) 537-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

372 W Cypress Ave
Reedley, CA 93654-2113

Mailing address

1 Adventist Health Way
Roseville, CA 95661-3266
Phone (916) 406-0989

Other names 1

  • Adventist Health Reedley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730001070 CA Part A Provider - Hospital 0941460984 Practice locations: Reedley, CA

Hospital certification: CCN 05U192

Legal name
REEDLEY COMMUNITY HOSPITAL
Doing business as
ADVENTIST HEALH REEDLEY
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2011 in CA
Enrollment address
372 W Cypress Ave
Reedley, CA 93654-2113
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

National Provider Directory

National Provider Directory
Tax ID family
Reedley Community Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Celeste M Philip Individual Corporate DirectorBoard Member Jul 1, 2019
Kerry L Heinrich Individual Corporate DirectorBoard Member Jun 1, 2015
Velino a Salazar Individual Corporate DirectorBoard Member Sep 15, 2015
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Ricardo B Graham Individual Corporate DirectorBoard Member Jun 1, 2015
Andrea S Kofl Individual Corporate OfficerPresident Feb 27, 2017
W-2 Managing EmployeePresident/Ceo Feb 27, 2017
Richard K Reiner Individual Corporate DirectorBoard Member Jan 16, 2017
Andrew R Davis Individual Corporate DirectorBoard Member May 5, 2017
Billy D Wing Individual Corporate OfficerVice Chair of the Board Jun 1, 2015
Corporate DirectorVice Chair of the Board Jun 1, 2015
Lucy a Ocampo Individual Corporate DirectorBoard Member Jul 1, 2019
David P Banks Individual Corporate DirectorBoard Member May 5, 2017
Marc K Woodson Individual Corporate DirectorBoard Member Jan 1, 2019
John C Freedman Individual Corporate DirectorBoard Member Sep 26, 2016
Timothy M Haydock Individual Corporate OfficerTreasurer / Assistant Secretary Jul 3, 2017
Brian S Reiner Individual Corporate OfficerChairman of Board Mar 31, 2014
Corporate DirectorChairman of Board Jun 1, 2015
Robert a Cherry Individual Corporate DirectorBoard Member May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Jun 1, 2015
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control Aug 24, 2011 100%

Facilities with the same owner 105

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

View all 105

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1023634375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ADVENTIST HEALTH WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613266",
            "telephone_number": "916-406-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W CYPRESS AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542113",
            "telephone_number": "559-537-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "HAYDOCK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "559-537-0050"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Reedley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Reedley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.