NPIMap

Organization Active NPI

Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
National Provider Identifier
1285742338
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
14 0704 Issued in OR
Legal business name
HARNEY DISTRICT HOSPITAL
Practice address
557 W Washington St
Burns, OR 97720-1441
Phone
(541) 573-7281
Fax
(541) 573-8627
NPI assigned
Aug 28, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Robert D Gomes
Title
Ceo
Phone
(541) 573-7281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 14 0704 OR Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

557 W Washington St
Burns, OR 97720-1441

Mailing address

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

Other identifiers 18

IdentifierTypeStateIssuer
3780020947MedicaidNC
226328MedicaidOR
903049200MedicaidFL
XHSP30724MedicaidCA
419900MedicaidMT
934069MedicaidAZ
XHSP40724MedicaidCA
003430200MedicaidID
026053MedicaidOR
190265MedicaidAZ
HS003OPMedicaidAL
092502MedicaidOR
95017075MedicaidCO
HS003IPMedicaidAL
800594MedicaidOR
HA312906MedicaidKS
903353MedicaidMO
GA557ORMedicaidAL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040528000077 OR Part B Supplier - Clinic/Group Practice 6800877424 Receives reassigned benefits from 88 practitioners
3 other NPIs on this enrollment
Practice locations: Burns, OR; Hines, OR; John Day, OR
O20061104000508 OR Part A Provider - Critical Access Hospital 6800877424 Receives reassigned benefits from 63 practitioners
1 other NPI on this enrollment
Practice locations: Burns, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285742338. Details of each certification follow.

Hospital certification: CCN 381307

Legal name
HARNEY DISTRICT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2001
Last certification
Apr 29, 2017
Beds
44 (25 certified)
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1990 in OR
Enrollment address
557 W Washington St
Burns, OR 97720-1441
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 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Harney District HospitalCCN 381307 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
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 11

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

NameRoleSinceShare
Daniel Brown Individual Corporate DirectorBoard Member Sep 16, 2014
Anna C Vloedman Individual Corporate DirectorBoard Member Sep 16, 2014
Dave Ferre Individual Corporate DirectorBoard Member Jul 1, 2019
Elaine Wulff Individual Corporate OfficerCno/Coo Sep 1, 2015
Daniel W Grigg Individual Operational/Managerial ControlCeo Jul 1, 2015 100%
Shana Withee Individual Corporate DirectorBoard Member Sep 16, 2014
Sharon J Davis Individual Corporate DirectorBoard Chairman Aug 26, 2015
Harney District Hospital Organization, Burns, OR Operational/Managerial Control Jul 1, 1990 100%
Catherine White Individual Corporate OfficerCfo Sep 16, 2014
Robert a Frank Individual Corporate DirectorBoard Member Jul 1, 2017 100%
Susan Doverspike Individual Corporate DirectorBoard Member Feb 1, 2015

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Harney District HospitalBurns, OR, CCN 38Z307 Hospital Operational/Managerial Control (100%) Jul 1, 1990
Harney District Hospital Family CareBurns, OR, CCN 388512 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 93

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 93

Affiliated clinicians 163

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

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1285742338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-7281",
            "fax_number": "541-573-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-7281",
            "fax_number": "541-573-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNEY DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-573-7281"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "14 0704",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3780020947",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226328",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903049200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP30724",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419900",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934069",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP40724",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003430200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026053",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190265",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS003OP",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092502",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95017075",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS003IP",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800594",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA312906",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903353",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA557OR",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns, OR

Sources for this page

Verify at the official NPI Registry.