Mayers Memorial Hospital District

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

230000021 Issued in CA

Legal business name

MAYERS MEMORIAL HOSPITAL DISTRICT

Practice address

43563 State Highway 299 E
Fall River Mills, CA 96028-9787

Phone

(530) 336-5511

Fax

(530) 336-6996

NPI assigned

Aug 23, 2005

Last updated

May 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt M Rees

Title

Ceo

Phone

(530) 336-5511

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043203276. Details of each certification follow.

• CCN 056416 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056416

Legal name

MAYERS MEMORIAL HOSPITAL DISTRICT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 8, 1973

Last certification

May 9, 2024

Beds

99

Ownership / control type

Hospital District

Organization structure

OtherNon-profit

Enrollment address

43563 State Highway 299 E
Fall River Mills, CA 96028-9787

Nursing home name

MAYERS MEMORIAL HOSPITAL

Other NPIs on the same Medicare enrollment 1

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

• Mayers Memorial Hospital District

  • Skilled Nursing Facility
  • Fall River Mills, CA
  • NPI 1386763456

  O20120502000720

  Same enrollment

Listed as

Mayers Memorial HospitalCCN 056416 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Nov 8, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9969.0 residents per day on average

Penalties (3 years)

3Fines totaling $62,258

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 5

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

• Mayers Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Fall River Mills, CA
  • NPI 1174737068

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Mayers Memorial Hospital District

  • Community/Retail Pharmacy
  • Fall River Mills, CA
  • NPI 1194296665

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Mayers Memorial Hospital District

  • Skilled Nursing Facility
  • Fall River Mills, CA
  • NPI 1386763456

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Mayers Memorial Hospital District

  • Critical Access Hospital Clinic/Center
  • Burney, CA
  • NPI 1497298483

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1043203276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "96028",
            "telephone_number": "530-336-5511",
            "fax_number": "530-336-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-5511",
            "fax_number": "530-336-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYERS MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-336-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "230000021",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "HPE30724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "LTC06416F",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB307210",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00406G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "HSP40406G",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily A Lieuallen, DO
• Jinno Antonio Magno, MD
• Michael S Maier, DC
• Lani Martin, RD
• Mayers Memorial Hospital District (Fall River Community Care Clinic)
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District

• General Acute Care Hospital in Fall River Mills, CA
• Providers in Fall River Mills, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.