NPIMap

Organization Active NPI

Morrow County Health District

Doing business as Pioneer Memorial Hospital

  • Critical Access Hospital
  • Heppner, OR
National Provider Identifier
1376572099
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
141444 Issued in OR
Legal business name
MORROW COUNTY HEALTH DISTRICT
Doing business as
Pioneer Memorial Hospital
Practice address
564 East Pioneer Drive
Heppner, OR 97836
Phone
(541) 676-2925
Fax
(541) 676-2901
NPI assigned
Jul 3, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mrs. Nicole Mahoney
Title
Cfo
Phone
(541) 676-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 141444 OR Primary

Addresses

Primary practice location

564 East Pioneer Drive
Heppner, OR 97836

Mailing address

PO Box 9
Heppner, OR 97836-0009
Phone (541) 676-2925

Other identifiers 1

IdentifierTypeStateIssuer
134697MedicaidOR

Other names 1

  • Pioneer Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226001024 OR Part B Supplier - Clinic/Group Practice 2365359296 Receives reassigned benefits from 40 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Heppner, OR; Ione, OR; Irrigon, OR
O20061104000545 OR Part A Provider - Critical Access Hospital 2365359296 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Heppner, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376572099. Details of each certification follow.

Hospital certification: CCN 381310

Legal name
MORROW COUNTY HEALTH DISTRICT
Doing business as
PIONEER MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2002
Last certification
Jul 13, 2023
Beds
21
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
564 E Pioneer Dr
Heppner, OR 97836-7318

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

Other NPIs with the same Medicare PAC ID 6

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
Pioneer Memorial HospitalCCN 381310 · 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0628589Pioneer Memorial Hospital Lab564 E Pioneer Dr, Heppner, OR 97836ComplianceJul 18, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Annetta Spicer Individual Corporate Director Jul 1, 2025
Stephen Munkers Individual Corporate Director Jul 1, 2023
Janet Greenup Individual Corporate Director Jul 1, 2025
Jason Hanna Individual Corporate Director Jul 1, 2025
Robert J Houser Individual W-2 Managing EmployeeChief Executive Director Jul 1, 2025
Julie Baker Individual Corporate OfficerCompliance Officer Jul 1, 2025 50%
Russel J Nichols Individual Corporate Director Jul 1, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Pioneer Memorial Hospital & Nursing FacilityHeppner, OR, CCN 38Z310 Hospital 5% Or Greater Direct Ownership Interest Jan 13, 2010
Pioneer Memorial Home HealthHeppner, OR, CCN 387038 Home health agency 5% Or Greater Direct Ownership Interest Mar 4, 2010
Pioneer Memorial HospiceHeppner, OR, CCN 381546 Hospice 5% Or Greater Direct Ownership Interest (100%) Sep 9, 2002
Pioneer Memorial ClinicHeppner, OR, CCN 383984 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 4, 2010
Irrigon Medical ClinicIrrigon, OR, CCN 383987 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 1998
Morrow County Health DistrictIone, OR, CCN 388518 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 17, 2015

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 30

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 30

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1376572099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360009",
            "telephone_number": "541-676-2925",
            "fax_number": "541-676-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 EAST PIONEER DRIVE",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "97836",
            "telephone_number": "541-676-2925",
            "fax_number": "541-676-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-676-2925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "141444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134697",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heppner, OR

Sources for this page

Verify at the official NPI Registry.