NPIMap

Organization Active NPI

Curry Health District

Doing business as Curry Medical Center (formerly Brookings Medical Center)

  • Critical Access Hospital Clinic/Center
  • Brookings, OR
National Provider Identifier
1083656367
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
14-0251 Issued in OR
Legal business name
CURRY HEALTH DISTRICT
Doing business as
Curry Medical Center (formerly Brookings Medical Center)
Practice address
500 5TH Street
Brookings, OR 97415-9702
Phone
(541) 412-2000
Fax
(541) 412-2081
NPI assigned
Jun 12, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CURRY HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Virginia A. Williams
Title
Ceo
Phone
(541) 247-3108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 14-0251 OR Primary
Emergency Care Clinic/Center 261QE0002X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

500 5TH Street
Brookings, OR 97415-9702

Mailing address

94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000

Other identifiers 1

IdentifierTypeStateIssuer
119263MedicaidOR

Other names 1

  • Curry Medical Center (formerly Brookings Medical Center) Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000983 OR Part B Supplier - Clinic/Group Practice 2365352747 Receives reassigned benefits from 63 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookings, OR; Eugene, OR; Gold Beach, OR; West Linn, OR
O20061104000479 OR Part A Provider - Critical Access Hospital 2365352747 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gold Beach, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083656367. Details of each certification follow.

Hospital certification: CCN 381322

Legal name
CURRY HEALTH DISTRICT
Doing business as
CURRY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 18, 2004
Last certification
Jun 8, 2023
Beds
24
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1983 in OR
Enrollment address
94220 4TH St
Gold Beach, OR 97444-7756
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Curry General HospitalCCN 381322 · All quality measures
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Curry General Hosptial

Locations

94180 2nd St
Gold Beach, OR 97444
Phone (541) 247-3940

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Karen Kennedy Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2015
Corporate DirectorBoard Member Jul 1, 2015 20%
Derral Edward Hawthorne Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021 20%
Curry Health District Organization, Gold Beach, OR Corporation, Non-profit Other Sep 20, 2013 100%
Virginia a Williams Individual 5% Or Greater Direct Ownership Interest May 4, 2015 100%
Corporate OfficerChief Executive Officer May 4, 2015 100%
W-2 Managing EmployeeChief Executive Officer May 4, 2015 100%
Operational/Managerial ControlCeo May 4, 2015 100%
Bryan R Grummon Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2019
Corporate DirectorBoard Member Jul 1, 2019 20%
Maarten Van Otterloo Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 29, 2020
Corporate DirectorBoard Member Jul 29, 2020 20%
Joel Hensley Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021 20%

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 329

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

View all 329

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1083656367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 5TH STREET",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-412-2000",
            "fax_number": "541-412-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRY HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CURRY HEALTH DISTRICT",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-247-3108"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "OR",
            "license": "14-0251",
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curry Medical Center (formerly Brookings Medical Center)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Curry Medical Center (formerly Brookings Medical Center)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, OR

Sources for this page

Verify at the official NPI Registry.