NPIMap

Organization Active NPI

Colusa Medical Center LLC

Doing business as Colusa Medical Center

  • Rural Acute Care Hospital
  • Colusa, CA
National Provider Identifier
1215475124
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
COLUSA MEDICAL CENTER LLC
Doing business as
Colusa Medical Center
Practice address
199 E Webster St
Colusa, CA 95932-2954
Phone
(530) 458-1808
NPI assigned
Feb 11, 2017
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Tammy Thompson
Title
VP Finance/Cfo
Phone
(209) 287-6308

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Medicare Defined Swing Bed Hospital Unit 275N00000X
Rural Acute Care Hospital 282NR1301X Primary

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 1

  • Colusa Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1215475124. Details of each certification follow.

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
LLCProprietary
Enrollment address
199 E Webster St
Colusa, CA 95932-2954
Hospital Swing-Bed Unit
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
LLCProprietary
Enrollment address
199 E Webster St
Colusa, CA 95932
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 11

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
Colusa Medical CenterCCN 050783 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Gurpreet Singh Randhawa Individual 5% Or Greater Direct Ownership Interest Nov 16, 2016 100%
Colusa Medical Center, LLC Organization, Orland, CA 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Shamsher Bhullar Individual Corporate OfficerAdministrator Dec 1, 2016
W-2 Managing EmployeeAdministrator Dec 1, 2016
Operational/Managerial ControlAdministrator Dec 1, 2016
Tammy Thompson Individual Corporate OfficerChief Financial Officer Dec 1, 2016
Corporate DirectorChief Financial Officer Dec 1, 2016
Corporate DirectorCfo Dec 1, 2016
W-2 Managing EmployeeCfo Dec 1, 2016
Manpreet Singh Individual Corporate OfficerCoo Jul 21, 2025
Corporate DirectorCoo Jul 21, 2025

Owners & managing parties with NPI records 12

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

All facility ownership & control disclosures 10

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

FacilityTypeRoleSince
Colusa Medical Center-AcuteColusa, CA, CCN 05U783 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center - SNFColusa, CA, CCN 555909 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jun 27, 2018
Colusa Medical CenterWilliams, CA, CCN 058696 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical CenterArbuckle, CA, CCN 058695 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical CenterColusa, CA, CCN 058697 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLCRed Bluff, CA, CCN 058722 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLCOrland, CA, CCN 058720 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
First Care Medical AssociatesOrland, CA, CCN 058922 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Glenn Family Medical GroupWillows, CA, CCN 058572 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
Family Care CenterWillows, CA, CCN 053981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1215475124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST STE 201D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541249",
            "telephone_number": "530-458-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322954",
            "telephone_number": "530-458-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUSA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "209-287-6308"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colusa Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colusa Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colusa, CA

Sources for this page

Verify at the official NPI Registry.