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
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 28
-
Maralee Cartner Bowers, M.D.
-
David Donner, MD
-
Amy Micheli, FNP
-
Joshua Brink Sannar, D.C.
-
Walter L Wynne, M.D.
-
Gregory Shoichi Ishimoto, M.D.
-
Nkolika Christine Akpati, M.D.
-
Jacob Daniel Blasi, PA-C
-
Teresa A Carter, FNP
-
Thomas Arthur Devine, FNP
-
Viktor Limanskiy, M.D.
-
Jagraj Nijjar, M.D.
-
Devinderjit Singh, M.D.
-
Jeetinder Singh Sohal, M.D.
-
Gustavo Villegas, PA
-
Natalie M Ladine, M.D.
-
Jack Lane, DO
-
Mark L Harshany, MD
-
Richard M Kaut, MD
-
Jacob Sung Sik Keum, D.O.
-
Sareer Zia, MD
-
Gagandeep Kaur Azad, M.D
-
Subil Go, MD
Affiliated clinicians 4
-
John Michael Christopher, FNP-C
-
Amy Micheli, FNP
-
Jagraj Nijjar, M.D.
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
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Margaret I Brown |
Corporate Director |
May 1, 2009 | |
| Joseph F Cunha |
Corporate Director | May 1, 2010 | |
| Clark S Redfield |
Corporate Director |
May 1, 2009 | |
| John T Harris |
Corporate Director |
May 1, 2009 | |
| Jatinder Kullar |
Corporate Director | Feb 1, 2016 | |
| Steven L Stark |
Corporate Officer |
Jan 5, 2015 | |
| W-2 Managing Employee |
Jan 5, 2015 | ||
| Curtis D Engen |
Corporate Director | May 1, 2010 | |
| Orchard Hospital |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Arthur Cota |
Corporate Director | May 1, 2015 | |
| Edwin a Becker |
Corporate Director |
May 1, 2009 | |
| Albert W Nielsen |
Corporate Director | May 1, 2009 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Orchard Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Orchard Hospital Medical Specialty Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Orchard Hospital Medical Specialty Center Oroville |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05Z311 | Other | CA | MEDICARE ID - TYPE UNSPECIFIED |
Other providers in Gridley, CA
- Orchard Gridley Hospital Inc
- Orchard Gridley Hospital Inc
- Orchard Gridley Hospital Inc
- Orchard Hospital
- Orchard Hospital
- Orchard Hospital
- Orchard Hospital
- Orchard Hospital
- Luis Orozco
- Jaismin Pamma
All providers in Gridley, CA · Medicare Defined Swing Bed Hospital Unit in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.