NPIMap

Organization Active NPI

Last Frontier Healthcare District

Doing business as Modoc Medical Center

  • Skilled Nursing Facility
  • Alturas, CA
National Provider Identifier
1326146333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAST FRONTIER HEALTHCARE DISTRICT
Doing business as
Modoc Medical Center
Practice address
225 W McDowell Ave
Alturas, CA 96101-3933
Phone
(530) 233-3416
Fax
(530) 233-6609
NPI assigned
Sep 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Walt Beck, CPA
Title
Ceo
Phone
(530) 233-5883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

225 W McDowell Ave
Alturas, CA 96101-3933

Mailing address

228 W McDowell Ave
Alturas, CA 96101-3934
Phone (530) 233-5131

Other identifiers 1

IdentifierTypeStateIssuer
LTC55420FMedicaidCA

Other names 1

  • Modoc Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000413 CA Part A Provider - Skilled Nursing Facility 2466447412 Practice locations: Alturas, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326146333. Details of each certification follow.

Skilled nursing facility certification: CCN 555420

Legal name
LAST FRONTIER HEALTHCARE DISTRICT
Doing business as
LAST FRONTIER HEALTHCARE DISTRICT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 4, 1990
Last certification
Apr 17, 2025
Beds
84
Ownership / control type
Corporation
Most recent change of ownership
Jul 1, 2011
Organization structure
GovernmentNon-profit
Incorporated
Oct 12, 2010 in CA
Enrollment address
225 W McDowell Ave
Alturas, CA 96101-3933
Nursing home name
MODOC MEDICAL CENTER D/P SNF

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Modoc Medical Center D/P SNFCCN 555420 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 4, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8453.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Modoc Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Carol a Madison Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Edward J Johnson Individual Corporate OfficerChief Nursing Officer (Cno) Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Keith Weber Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Last Frontier Healthcare District Organization, Alturas, CA 5% Or Greater Direct Ownership Interest Aug 23, 2011 100%
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Kevin Kramer Individual Corporate OfficerCeo Oct 23, 2013
Operational/Managerial Control Jul 1, 2013
Adp of the SNF Jul 1, 2013
Rose Boulade Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Mike Mason Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Edward P Richert Individual Corporate OfficerThe Medical Director Jan 1, 2020
Corporate DirectorVice Chief Medical Officer Jan 1, 2020
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Paul Dolby Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Modoc Medical CenterAlturas, CA, CCN 051330 Hospital 5% Or Greater Direct Ownership Interest Oct 12, 2010
Modoc Medical CenterAlturas, CA, CCN 05Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) May 16, 2008
Modoc Medical Center Family Practice ClinicAlturas, CA, CCN 053988 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 23, 2011
Canby Family Practice ClinicCanby, CA, CCN 058714 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326146333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W MCDOWELL AVE",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013934",
            "telephone_number": "530-233-5131",
            "fax_number": "530-233-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W MCDOWELL AVE",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013933",
            "telephone_number": "530-233-3416",
            "fax_number": "530-233-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAST FRONTIER HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-233-5883",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55420F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modoc Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alturas, CA

Sources for this page

Verify at the official NPI Registry.