Colusa Medical Center LLC
Organization Active NPI Rural Acute Care Hospital · Colusa, CA
NPI 1215475124 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1215475124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- Legal business name
- COLUSA MEDICAL CENTER LLC
- Practice address
- 199 E Webster St
Colusa, CA 95932-2954 - Phone
- (530) 458-1808
- NPI assigned
- Feb 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Tammy Thompson
- Title
- VP Finance/Cfo
- Phone
- (209) 287-6308
Owners & managing parties with NPI records 12
-
Gurpreet Singh, MD
Owned or controlled facilities with NPI records 9
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 11
Related certifications (CCN) 6
Facilities with the same owner 9
Practitioners 2
-
Jagraj Nijjar, M.D.
Affiliated clinicians 89
-
Abdullah M Al Dwairi, M.D.
-
Ahmed Alghrouz, MD
-
Nasrin Ashouian, MD
-
Joel F Berman, D.P.M.
-
Rupinder S Brar, MD
-
Kevin Eugene Brown, M.D.
-
Tanya Brown, MD
-
Hiep P Bui, NP-C
-
Teresa A Carter, FNP
-
Randall Elton Caviness, M.D.
-
Michael L Chin, MD
-
Ken Wah Chow, M.D.
-
John Michael Christopher, FNP-C
-
Rajpreet S Dhesi, MD
-
Siva P Doma, M.D.
-
David Donner, MD
Medicare Care Compare: Hospital
- Listed as
- Colusa Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 050783
- Legal name
- COLUSA MEDICAL CENTER, LLC
- Doing business as
- COLUSA MEDICAL CENTER - ACUTE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Mar 9, 2018
- Last certification
- Mar 9, 2018
- Beds
- 48
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 199 E Webster St
Colusa, CA 95932-2954 - Hospital subgroups
- General, Acute care, Swing-bed approved
Hospital certification: CCN 05U783
- Legal name
- COLUSA MEDICAL CENTER, LLC
- Doing business as
- COLUSA MEDICAL CENTER-ACUTE
- Organization structure
- LLC · Proprietary
- Enrollment address
- 199 E Webster St
Colusa, CA 95932 - Hospital subgroups
- General, Acute care, Swing-bed approved
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Gurpreet Singh Randhawa |
5% Or Greater Direct Ownership Interest | Nov 16, 2016 | 100% |
| Colusa Medical Center, LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Shamsher Bhullar |
Corporate Officer |
Dec 1, 2016 | |
| W-2 Managing Employee |
Dec 1, 2016 | ||
| Operational/Managerial Control |
Dec 1, 2016 | ||
| Tammy Thompson |
Corporate Officer |
Dec 1, 2016 | |
| Corporate Director |
Dec 1, 2016 | ||
| Corporate Director |
Dec 1, 2016 | ||
| W-2 Managing Employee |
Dec 1, 2016 | ||
| Manpreet Singh |
Corporate Officer |
Jul 21, 2025 | |
| Corporate Director |
Jul 21, 2025 |
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Colusa Medical Center-Acute |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Colusa Medical Center - SNF |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jun 27, 2018 |
| Colusa Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Colusa Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Colusa Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Colusa Medical Center, LLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Colusa Medical Center, LLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| First Care Medical Associates |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Glenn Family Medical Group |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| Family Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170606000568 | CA | Part a Provider - Hospital | 4183901978 | Practice locations: Colusa, CA |
| O20180411000723 | CA | Part a Provider - Hospital | 4183901978 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colusa, CA |
National Provider Directory
Locations
700 17th St
Ste 201D
Modesto, CA 95354
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Rural Acute Care Hospital | 282NR1301X | Yes |
Addresses
Primary practice location
199 E Webster St
Colusa, CA 95932-2954
Mailing address
700 17TH St Ste 201D
Modesto, CA 95354-1249
Phone (530) 458-1808
Other names
- Colusa Medical Center
Other providers in Colusa, CA
- Colusa Indian Community Council
- Colusa Indian Community Council
- Colusa Indian Community Council
- Colusa Indian Community Council
- Colusa Indian Health Clinic
- Colusa Medical Center LLC
- Colusa Medical Center LLC
- Colusa Medical Center LLC
- Colusa Medical Center, LLC
- Colusa Medical Center, LLC
All providers in Colusa, CA · Rural Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. 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.