NPIMap

Organization Active NPI

Saint Alphonsus Medical Center Baker City, Inc

  • Critical Access Hospital
  • Baker City, OR
National Provider Identifier
1386636355
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Practice address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone
(541) 523-6461
Fax
(541) 523-8151
NPI assigned
Aug 16, 2005
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Marcie Harper
Title
Cfo
Phone
(208) 367-7192

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3325 Pocahontas Rd
Baker City, OR 97814-1464

Mailing address

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-6461

Other identifiers 4

IdentifierTypeStateIssuer
150232MedicaidOR
500619115MedicaidOR
809590MedicaidOR
178061MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210917000436 OR Part A Provider - Critical Access Hospital 4981732518 Receives reassigned benefits from 44 practitioners
Practice locations: Baker City, OR
O20220525000301 OR Part A Provider - Critical Access Hospital 4981732518 Receives reassigned benefits from 3 practitioners
Practice locations: Baker City, OR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1386636355. Details of each certification follow.

Hospital certification: CCN 381315

Legal name
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC
Doing business as
SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2003
Last certification
Aug 25, 2004
Beds
36 (25 certified)
Ownership / control type
Church
Most recent change of ownership
Apr 1, 2010 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
3325 Pocahontas Rd
Baker City, OR 97814-1464

Hospital certification: CCN 38Z315

Legal name
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC
Doing business as
SAINT ALPHONSUS MEDICAL CENTER- BAKER CITY
Organization structure
CorporationNon-profit
Enrollment address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St. Alphonsus Medical Center - Baker CityCCN 381315 · All quality measures
Overall star rating
1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
William Edward Avey Individual Corporate DirectorBoard Member Jan 1, 2026
Brian L Checketts Individual Corporate OfficerCfo & Treasurer Dec 14, 2016
Operational/Managerial ControlCfo Dec 14, 2016
Tonja Lee Nielsen Individual Corporate DirectorBoard Member Jan 2, 2020
Connie Russell Tanaka Individual Corporate DirectorBoard Member Jan 1, 2026
Saint Alphonsus Health System Inc Organization, Boise, ID Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 3, 2010 100%
Elsbeth Mulvaney Individual Corporate DirectorBoard Member Jan 1, 2026
Marie Guadalupe Wissel Individual Corporate DirectorBoard Member Jan 1, 2020
Michael Coughlin Individual Corporate DirectorBoard Member Jan 1, 2022
Jason D Wright Individual Corporate DirectorBoard Member Jan 1, 2026
Corporate OfficerBoard Member Jan 1, 2026
David McFadyen Individual Corporate OfficerPresident Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2024
Adam Richins Individual Corporate OfficerBoard Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2022
Angela Faye Taylor Individual Corporate OfficerBoard Vice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2022
Stephanie C Westermeier Individual Corporate OfficerSecretary Jan 20, 2010
Irma Roci Valdivia Barba Individual Corporate DirectorBoard Member Jan 1, 2025
Robert Ladenburger Individual Corporate DirectorBoard Member Jan 1, 2023
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2000 100%
Anthony Swart Individual W-2 Managing EmployeeVP Finance & Operations Jul 1, 2019
Operational/Managerial ControlVP Finance & Operations Jul 1, 2019
W-2 Managing EmployeeDirector Finance Jul 1, 2019
Operational/Managerial ControlDirector Finance Jul 1, 2019
Stuart Kilpinen Individual Operational/Managerial ControlChain Home Office Administrator Jun 10, 2023
Dina Ellwanger Individual Corporate OfficerPresident May 22, 2022
Corporate DirectorBoard Member May 22, 2022
W-2 Managing EmployeePresident May 22, 2022
Operational/Managerial ControlPresident May 22, 2022
Michael Joseph Ballantyne Individual Corporate DirectorBoard Member Mar 6, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 51

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 51

Affiliated clinicians 224

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

View all 224

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1386636355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-523-6461",
            "fax_number": "541-523-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-523-6461",
            "fax_number": "541-523-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-367-7192"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150232",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500619115",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809590",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178061",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.