NPIMap

Organization Active NPI

Asher Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fossil, OR
National Provider Identifier
1063675569
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASHER COMMUNITY HEALTH CENTER
Practice address
712 Jay St
Fossil, OR 97830-0307
Phone
(541) 763-2725
Fax
(541) 763-2850
NPI assigned
Jul 3, 2008
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHER COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Miss Teresa Hunt, CFO
Title
Administrator
Phone
(541) 763-2725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

712 Jay St
Fossil, OR 97830-0307

Mailing address

712 Jay St
Fossil, OR 97830-0307
Phone (541) 763-2725

Other identifiers 1

IdentifierTypeStateIssuer
276319MedicaidOR

Other names 1

  • Asher Clinic Spray Field Office Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050930000192 OR Part A Provider - Federally Qualified Health Center (FQHC) 2163460726 1 other NPI on this enrollment
Practice locations: Spray, OR
O20070608000181 OR Part B Supplier - Clinic/Group Practice 2163460726 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Christmas Valley, OR; Fossil, OR; Mitchell, OR; Spray, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063675569. Details of each certification follow.

Federally qualified health center certification: CCN 381889

Legal name
ASHER COMMUNITY HEALTH CENTER
Doing business as
ASHER COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 5, 2005
Last certification
Oct 5, 2005
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 17, 2003 in OR
Enrollment address
211 Pine St
Spray, OR 97874-2013

Other NPIs with the same Medicare PAC ID 1

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.

National Provider Directory

National Provider Directory
Tax ID family
Asher Community Health Center3 organizations share this tax ID, including this one
Part of
Asher Community Health Center

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Teresa Hunt Individual Corporate OfficerCeo/Cfo Feb 2, 2020
Mary Ann Wilkins Individual W-2 Managing EmployeeCoo Jan 1, 2026
Linda G. Donnelly Individual Corporate Director Feb 20, 2020
Bonnie G Lofton Individual Corporate DirectorBoard Member Jul 15, 2015
Patricia T Ryno Individual Corporate OfficerBoard Member, Board Chair Person Mar 18, 2020
Richard H Shaffer Individual Corporate Director Feb 20, 2020

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1063675569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978300307",
            "telephone_number": "541-763-2725",
            "fax_number": "541-763-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978300307",
            "telephone_number": "541-763-2725",
            "fax_number": "541-763-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHER COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHER COMMUNITY HEALTH CENTER",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-763-2725",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276319",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asher Clinic Spray Field Office",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Asher Clinic Spray Field Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fossil, OR

Sources for this page

Verify at the official NPI Registry.