Orchard Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Gridley, CA

NPI 1295882819 · NPPES record last updated Dec 1, 2015

Key facts

NPI
1295882819
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
230000007 (CA)
Legal business name
ORCHARD HOSPITAL
Practice address
240 Spruce St
Gridley, CA 95948-2216
Phone
(530) 846-9000
Fax
(530) 846-9027
NPI assigned
Jan 4, 2007
Organization subpart
No

Authorized official

Name
Steven Stark
Title
Ceo
Phone
(530) 846-9001

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 3

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

Other NPIs on the same Medicare enrollment 3

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Facilities with the same owner 3

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

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Affiliated clinicians 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Hospital certification: CCN 05Z311

Legal name
ORCHARD HOSPITAL
Organization structure
Corporation · Non-profit
Incorporated
Apr 30, 1946 in CA
Enrollment address
240 Spruce St
Gridley, CA 95948-2216
Hospital Swing-Bed Unit

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
Margaret I Brown
Individual
Corporate Director
Vice Chairperson
May 1, 2009
Joseph F Cunha
Individual
Corporate Director May 1, 2010
Clark S Redfield
Individual
Corporate Director
Secretary
May 1, 2009
John T Harris
Individual
Corporate Director
Chairperson
May 1, 2009
Jatinder Kullar
Individual
Corporate Director Feb 1, 2016
Steven L Stark
Individual
Corporate Officer
Ceo
Jan 5, 2015
W-2 Managing Employee
Ceo
Jan 5, 2015
Curtis D Engen
Individual
Corporate Director May 1, 2010
Orchard Hospital
Organization · Gridley, CA
Corporation
5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Arthur Cota
Individual
Corporate Director May 1, 2015
Edwin a Becker
Individual
Corporate Director
Financial Officer
May 1, 2009
Albert W Nielsen
Individual
Corporate Director May 1, 2009

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 Hospital
Gridley, CA · CCN 051311
Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard Hospital Medical Specialty Center
Gridley, CA · CCN 553982
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard Hospital Medical Specialty Center Oroville
Oroville, 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

Medicare enrollment records

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
O20220803002774 CA Part a Provider - Critical Access Hospital 6800709049 Practice locations: Gridley, CA

National Provider Directory

Locations

2990 Oro Dam Blvd E
Ste A
Oroville, CA 95966
Phone (530) 353-3332

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 230000007 CA Yes

Addresses

Primary practice location

240 Spruce St
Gridley, CA 95948-2216

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
05Z311OtherCAMEDICARE ID - TYPE UNSPECIFIED

Other providers in Gridley, CA

All providers in Gridley, CA · Medicare Defined Swing Bed Hospital Unit in California

Sources for this page

Verify at the official NPI Registry.