NPIMap

Organization Active NPI

Orchard Hospital

  • Rural Health Clinic/Center
  • Gridley, CA
National Provider Identifier
1144378209
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
230000007 Issued in CA
Legal business name
ORCHARD HOSPITAL
Practice address
284 Spruce St
Gridley, CA 95948-2216
Phone
(530) 846-9000
Fax
(530) 846-9027
NPI assigned
Jan 8, 2007
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Steve Stark
Title
Ceo
Phone
(530) 846-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 230000007 CA Primary

Addresses

Primary practice location

284 Spruce St
Gridley, CA 95948-2216

Mailing address

PO Box 97
Gridley, CA 95948-0097
Phone (530) 846-9000

Other identifiers 2

IdentifierTypeStateIssuer
553982OtherCAMEDICARE ID - TYPE UNSPECIFIED
RHM10404FMedicaidCA

Other names 1

  • Orchard Hospital Medical Specialty Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031112000502 CA Part B Supplier - Clinic/Group Practice 6800709049 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gridley, CA
O20120510000640 CA Part A Provider - Rural Health Clinic 6800709049 Practice locations: Gridley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144378209. Details of each certification follow.

Rural health clinic certification: CCN 553982

Legal name
ORCHARD HOSPITAL
Doing business as
ORCHARD HOSPITAL MEDICAL SPECIALTY CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 28, 1994
Last certification
Aug 7, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 13, 2009 in CA
Enrollment address
284 Spruce St
Gridley, CA 95948-2216
Related CCNs
051311

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

Other NPIs with the same Medicare PAC ID 3

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
Biggs Gridley Memorial6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Margaret I Brown Individual Corporate DirectorVice Chairperson May 1, 2009
Joseph F Cunha Individual Corporate Director May 1, 2010
Nkolika C Akpati Individual Operational/Managerial ControlMedical Director May 1, 2021 5%
Clark S Redfield Individual Corporate DirectorSecretary May 1, 2009
John T Harris Individual Corporate DirectorChairperson May 1, 2009
Jatinder Kullar Individual Corporate Director Feb 1, 2016
Steven L Stark Individual Corporate OfficerCeo Jan 5, 2015
W-2 Managing EmployeeCeo Jan 5, 2015
Curtis D Engen Individual Corporate Director May 1, 2010
Orchard Hospital Organization, Gridley, CA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Arthur Cota Individual Corporate Director May 1, 2015
Edwin a Becker Individual Corporate DirectorFinancial Officer May 1, 2009
Albert W Nielsen Individual Corporate Director May 1, 2009
Kristina Sanke Individual W-2 Managing EmployeeCfo/Cco May 26, 2015

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Orchard HospitalGridley, CA, CCN 051311 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard HospitalGridley, CA, CCN 05Z311 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard Hospital Medical Specialty Center OrovilleOroville, CA, CCN 058706 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)
Operational/Managerial Control (100%)		 Oct 17, 2016
Oct 17, 2016
Oct 17, 2016

Owned or controlled facilities with NPI records 3

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

  • Orchard Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Gridley, CA
    • NPI 1295882819

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Orchard Hospital
    • Critical Access Hospital
    • Gridley, CA
    • NPI 1477522019

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Orchard Hospital

    dba Medical Specialty Center Oroville

    • Rural Health Clinic/Center
    • Oroville, CA
    • NPI 1689023392

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1144378209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959480097",
            "telephone_number": "530-846-9000",
            "fax_number": "530-846-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-9000",
            "fax_number": "530-846-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-846-9000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "230000007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "553982",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM10404F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Hospital Medical Specialty Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.