NPIMap

Organization Active NPI

Orchard Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gridley, CA
National Provider Identifier
1295882819
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
230000007 Issued in 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
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

240 Spruce St
Gridley, CA 95948-2216

Mailing address

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

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295882819. Details of each certification follow.

Hospital certification: CCN 05Z311

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

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

Other NPIs with the same Medicare PAC ID 3

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.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

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
Margaret I Brown Individual Corporate DirectorVice Chairperson May 1, 2009
Joseph F Cunha Individual Corporate Director May 1, 2010
Clark S Redfield Individual Corporate DirectorSecretary May 1, 2009
John T Harris Individual Corporate DirectorChairperson May 1, 2009
Jatinder Kullar Individual Corporate Director Feb 1, 2016
Steven L Stark Individual Corporate OfficerCeo Jan 5, 2015
W-2 Managing EmployeeCeo 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 DirectorFinancial Officer May 1, 2009
Albert W Nielsen Individual Corporate Director May 1, 2009

Owners & managing parties with NPI records 3

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

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

Owned or controlled facilities with NPI records 3

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

  • Orchard Hospital
    • Rural Health Clinic/Center
    • Gridley, CA
    • NPI 1144378209

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Orchard Hospital
    • Critical Access Hospital
    • Gridley, CA
    • NPI 1477522019

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Orchard Hospital

    dba Medical Specialty Center Oroville

    • Rural Health Clinic/Center
    • Oroville, CA
    • NPI 1689023392

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 20

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 20

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1295882819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959480097",
            "telephone_number": "530-846-9000",
            "fax_number": "530-846-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-9000",
            "fax_number": "530-846-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-846-9001"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CA",
            "license": "230000007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.