NPIMap

Organization Active NPI

Chippewa Valley Hospital & Oakview Care Center, Inc.

Doing business as AdventHealth Durand

  • Critical Access Hospital
  • Durand, WI
National Provider Identifier
1194737817
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1008 Issued in WI
Legal business name
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER, INC.
Doing business as
AdventHealth Durand
Chippewa Valley Hospital
Practice address
1220 3Rd Ave W
Durand, WI 54736-1600
Phone
(715) 672-4211
Fax
(715) 672-3047
NPI assigned
Aug 12, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Shawn Perry
Title
Cfo
Phone
(785) 229-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1008 WI Primary

Addresses

Primary practice location

1220 3Rd Ave W
Durand, WI 54736-1600

Mailing address

PO Box 224
Durand, WI 54736-0224
Phone (715) 672-4211

Other identifiers 2

IdentifierTypeStateIssuer
11000500MedicaidWI
11000510MedicaidWI

Other names 2

  • AdventHealth Durand Doing business as
  • Chippewa Valley Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031125000470 WI Part B Supplier - Clinic/Group Practice 6901700517 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durand, WI
O20181218000548 WI Part A Provider - Critical Access Hospital 6901700517 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
Practice locations: Durand, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194737817. Details of each certification follow.

Hospital certification: CCN 521307

Legal name
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
Doing business as
ADVENTHEALTH DURAND
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2000
Last certification
Sep 22, 2022
Beds
25
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Aug 26, 1980 in WI
Enrollment address
1220 3Rd Ave W
Durand, WI 54736-1600
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Chippewa Valley HospitalCCN 521307 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1250 3rd Ave W
Durand, WI 54736
Phone (715) 672-5233

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
William Yingst Individual Corporate DirectorDirector Oct 18, 2001
Shawn Perry Individual Contracted Managing EmployeeCfo Mar 26, 2023
Corporate OfficerCfo Mar 26, 2023
Operational/Managerial ControlCfo Mar 26, 2023
John Heike Individual Corporate DirectorDirector Aug 24, 2023
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Troy Dube Individual W-2 Managing EmployeeDirector of Finance Feb 23, 1998
Operational/Managerial ControlDirector of Finance Feb 23, 1998
Mark Gilles Individual Corporate DirectorDirector May 12, 1993
Sandra J Boss Peck Individual Corporate DirectorDirector Aug 25, 2022
Sam Huenergardt Individual Corporate OfficerAssistant Secretary, Chair Jun 7, 2018
Corporate DirectorDirector Jan 1, 2020
Michael Saunders Individual Corporate OfficerAssistant Secretary Feb 23, 2022
Paul C Rathbun Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Chain home office 5% Or Greater Indirect Ownership Interest Aug 1, 2000 100%
Roxanne F Best Individual Corporate DirectorDirector Jun 5, 2013
Amanda Brady Individual Corporate OfficerAssistant Secretary Feb 27, 2022
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 25, 2022
David P Banks Individual Corporate OfficerAssistant Secretary Aug 25, 2022
Douglas Peterson Individual Corporate DirectorDirector Jun 23, 1995
W-2 Managing EmployeePresident/Ceo Aug 1, 2000
Haney Vincent Individual Corporate OfficerAssistant Secretary Dec 9, 2021
Linda Bauer Individual Corporate DirectorDirector Dec 8, 1994
William K Heinrich Individual Corporate OfficerSecretary, Treasurer, Board Secr Oct 18, 2021
Corporate DirectorDirector Oct 18, 2021
David L Huffman Individual Corporate OfficerAssistant Secretary Feb 27, 2022
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Aug 18, 2005
Todd Bechel Individual Corporate DirectorDirector Feb 21, 2013
Titus Naftanaila Individual Corporate OfficerVice Chair Feb 1, 2021
Charles Heike Individual Corporate DirectorDirector Jun 4, 2020
Adventist Health System Sunbelt Inc Organization, Altamonte Springs, FL Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2000 100%

Facilities with the same owner 88

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

View all 88

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1194737817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547360224",
            "telephone_number": "715-672-4211",
            "fax_number": "715-672-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-4211",
            "fax_number": "715-672-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-229-8244"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11000500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11000510",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AdventHealth Durand",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chippewa Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chippewa Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durand, WI

Sources for this page

Verify at the official NPI Registry.