Organization Active NPI

Asante

  • Psychiatric Hospital Unit
  • Medford, OR
National Provider Identifier
1114002128
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
ASANTE
Practice address
2825 E Barnett Rd
Medford, OR 97504-8332
Phone
(541) 789-7000
Fax
(541) 789-5393
NPI assigned
Oct 26, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASANTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Heather J Rowenhorst
Title
Cfo
Phone
(541) 789-4549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

2825 E Barnett Rd
Medford, OR 97504-8332

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-5516

Other names 1

  • Asante Rogue Regional Medical Center BHU Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031219000238 OR Part B Supplier - Clinic/Group Practice 0547177321 Receives reassigned benefits from 292 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Medford, OR
O20070921000506 OR Part A Provider - Hospital 0547177321 Practice locations: Medford, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114002128. Details of each certification follow.

Hospital certification: CCN 38S018

Legal name
ASANTE
Doing business as
ASANTE ROGUE REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1936 in OR
Enrollment address
2825 E Barnett Rd
Medford, OR 97504-8332
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Southern Oregon Interna

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Asante Organization, Medford, OR Corporation, Non-profit Operational/Managerial Control Nov 21, 2007 100%
Patricia Wintemute Individual Corporate DirectorCommunity Board Member Jan 1, 2020
Gregory G Wojtal Individual Corporate OfficerChief Administrative and Finance Jan 9, 2017
Christina Medina Individual Corporate DirectorCommunity Board Member Jan 1, 2022
Peter Angstadt Individual Corporate DirectorCommunity Board Member Jan 1, 2015
Michael Zdeblick Individual Corporate OfficerSenior VP and Chief Executive of Jan 1, 2011
Kate Lasky Individual Corporate DirectorCommunity Board Member Jan 1, 2022
Toni a Bartling Individual W-2 Managing EmployeePayer Contracting Program Manage Jan 1, 2019
Brian W Gross Individual Corporate DirectorCommunity Board Member Jan 1, 2020
Suzin M Hagar Individual Corporate DirectorCommunity Board Member Jan 1, 2022
Stephen Gambee Individual Corporate DirectorCommunity Board Member Jan 1, 2020
Ken Trautman Individual Corporate DirectorCommunity Board Member Jan 1, 2017
Douglass Schmor Individual Corporate DirectorCommunity Board Member Jan 1, 2015
Sandra Slattery Individual Corporate DirectorCommunity Board Member Jan 1, 2016

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Asante Rogue Regional Medical CenterMedford, OR, CCN 380018 Hospital Operational/Managerial Control (100%) Nov 21, 2007
Asante Three Rivers Medical Center LLCGrants Pass, OR, CCN 380002 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Aug 1, 2004
Nov 21, 2007
Asante Rogue Regional Medical CenterMedford, OR, CCN 38T018 Hospital Operational/Managerial Control (100%) Nov 21, 2007
Asante Ashland Community Hospital LLCAshland, OR, CCN 380005 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 27, 2017
Feb 28, 2017
Asante Ashland Community Hospital LLCAshland, OR, CCN 38U005 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 28, 2017
Feb 28, 2017
Assured Home HealthGrants Pass, OR, CCN 387076 Home health agency 5% Or Greater Direct Ownership Interest (25%) Sep 1, 2009
Accentcare Home Health of Rogue Valley, LLCMedford, OR, CCN 387098 Home health agency 5% Or Greater Direct Ownership Interest (25%) Nov 9, 2013
Asante Rogue Regional Medical Center Hospice ServicesTalent, OR, CCN 381527 Hospice Operational/Managerial Control (100%) Nov 21, 2007

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1114002128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "541-789-5516",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-7000",
            "fax_number": "541-789-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASANTE",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ROWENHORST",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-789-4549"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asante Rogue Regional Medical Center BHU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.