Curry Health District
Organization Active NPI Critical Access Hospital Clinic/Center · Brookings, OR
NPI 1083656367 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1083656367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital Clinic/Center 261QC0050X
- License
- 14-0251 (OR)
- Legal business name
- CURRY HEALTH DISTRICT
- Practice address
- 500 5TH Street
Brookings, OR 97415-9702 - Phone
- (541) 412-2000
- Fax
- (541) 412-2081
- NPI assigned
- Jun 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CURRY HEALTH DISTRICT
Authorized official
- Name
- Virginia A. Williams
- Title
- Ceo
- Phone
- (541) 247-3108
Owners & managing parties with NPI records 5
-
Derral Edward Hawthorne, PA-C
Other NPIs on the same Medicare enrollment 2
Member organizations 2
Related certifications (CCN) 3
Practitioners 2
-
Donald William Walker, MBA, FNP-C, GNP
-
Jack Byron Lewis, M.D.
Affiliated clinicians 329
-
Anshu Aery, MD
-
Fnu Aman Deep, MD
-
Jeffrey Scott Anderson, M.D.
-
Emilia Arden, D.O.
-
Allison Arends, NP
-
Steven Astengo, DO
-
Praneeta B Aviles, FNP
-
Pragathi Balakrishna, M.D.
-
Jason Scott Bell, M.D.
-
Oscar Alejandro Benitez, FNP-C
-
Jennifer M. Boyle, FNP
-
Christina Marie Brakebill, RN, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- Curry General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
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
- Corporation · Non-profit
- Incorporated
- Sep 20, 1983 in OR
- Enrollment address
- 94220 4TH St
Gold Beach, OR 97444-7756
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Kennedy |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2015 | |
| Corporate Director |
Jul 1, 2015 | 20% | |
| Derral Edward Hawthorne |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | 20% | |
| Curry Health District |
Other | Sep 20, 2013 | 100% |
| Virginia a Williams |
5% Or Greater Direct Ownership Interest | May 4, 2015 | 100% |
| Corporate Officer |
May 4, 2015 | 100% | |
| W-2 Managing Employee |
May 4, 2015 | 100% | |
| Operational/Managerial Control |
May 4, 2015 | 100% | |
| Bryan R Grummon |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2019 | |
| Corporate Director |
Jul 1, 2019 | 20% | |
| Maarten Van Otterloo |
5% Or Greater Indirect Ownership Interest |
Jul 29, 2020 | |
| Corporate Director |
Jul 29, 2020 | 20% | |
| Joel Hensley |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Curry Diagnostic Servic
Locations
500 5th St
Brookings, OR 97415
Phone (541) 412-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | 14-0251 | OR | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119263 | Medicaid | OR |
Other names
- Curry Medical Center (formerly Brookings Medical Center)
Other providers in Brookings, OR
- Costa Clinical Psychology, LLC
- Teresa Ione Costa
- County of Curry Brookings Harbor School District 17C
- Kellie Marie Creaser
- Howard Nelson Croy
- Curry Health District
- Dane E. Smith DDS PC
- Ellen Dar
- Olivia Ann Deitering
- Andrea Roberta Del Grande
All providers in Brookings, OR · Critical Access Hospital Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.