NPIMap

Organization Active NPI

Reedley Community Hospital

Doing business as Adventist Health Community Care - Hanford

  • Rural Health Clinic/Center
  • Hanford, CA
National Provider Identifier
1417930892
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
040000140 Issued in CA
Legal business name
REEDLEY COMMUNITY HOSPITAL
Doing business as
Adventist Health Community Care - Hanford
Adventist Health Reedley - Hanford
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(559) 587-4349
Fax
(559) 587-4366
NPI assigned
Nov 21, 2005
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Andrea Kofl
Title
Central Valley Network President
Phone
(559) 537-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 040000140 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

PO Box 888806
Los Angeles, CA 90088-8806
Phone (559) 587-4349

Other identifiers 3

IdentifierTypeStateIssuer
BCP10196FMedicaidCA
RHM10196FMedicaidCA
HAP10196FMedicaidCA

Other names 2

  • Adventist Health Community Care - Hanford Doing business as
  • Adventist Health Reedley - Hanford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001923 CA Part A Provider - Rural Health Clinic 0941460984 Practice locations: Hanford, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417930892. Details of each certification follow.

Rural health clinic certification: CCN 553983

Legal name
REEDLEY COMMUNITY HOSPITAL
Doing business as
ADVENTIST HEALTH REEDLEY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 4, 1994
Last certification
Feb 13, 2015
Ownership / control type
2B
Most recent change of ownership
Dec 1, 2015 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2011 in CA
Enrollment address
1025 N Douty St
Hanford, CA 93230-3722
Related CCNs
050121

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

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
05D1063812Adventist Health Reedley1025 N Douty Street, Hanford, CA 93230Provider-performed microscopyJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Reedley Community Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

1735 Villa Ave
#102
Clovis, CA 93612

729 N Medical Center Dr W
#22323
Clovis, CA 93611

9300 Valley Childrens Pl
#23
Madera, CA 93636
Phone (559) 353-6600

49063 Road 426
Ste C
Oakhurst, CA 93644
Phone (559) 642-1500

1150 E Washington Ave
Reedley, CA 93654
Phone (559) 391-3105

346 W Carob Ave
Reedley, CA 93654
Phone (209) 637-8800

1070 N Cherry St
Tulare, CA 93274
Phone (559) 412-5533

1124 N Chinowth St
#102
Visalia, CA 93291
Phone (559) 713-6869

220 S Akers St
Ste D
Visalia, CA 93291
Phone (559) 594-3144

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Kerry L Heinrich Individual Corporate DirectorBoard Member Dec 16, 2014
Velino a Salazar Individual Corporate DirectorBoard Member Sep 14, 2015
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Andrea S Kofl Individual Corporate OfficerPresident Feb 27, 2017
W-2 Managing EmployeePresident/Ceo Feb 27, 2017
Richard K Reiner Individual Corporate DirectorBoard Member Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorBoard Member Oct 1, 2020
Andrew R Davis Individual Corporate DirectorBoard Member May 5, 2017
Todd N Hofheins Individual Corporate OfficerVice Chair Jan 24, 2022
Lucy a Ocampo Individual Corporate DirectorBoard Member Jul 4, 2019
David P Banks Individual Corporate DirectorBoard Member May 5, 2017
Marc K Woodson Individual Corporate DirectorBoard Member Jan 1, 2019
John C Freedman Individual Corporate DirectorBoard Member Sep 26, 2016
Timothy M Haydock Individual Corporate OfficerTreasurer/Assistant Secretary Jul 3, 2017
Jack W Wagner Individual Corporate DirectorBoard Member Dec 1, 2022
Bradford C Newton Individual Corporate DirectorBoard Member Aug 16, 2021
Robert a Cherry Individual Corporate DirectorBoard Member May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Sep 19, 2011
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control Jan 1, 2012 100%

Facilities with the same owner 105

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

View all 105

Practitioners & affiliated clinicians

Practitioners 71

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 71

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1417930892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888806",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KOFL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CENTRAL VALLEY NETWORK PRESIDENT",
        "authorized_official_telephone_number": "559-537-0056"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "040000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP10196F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM10196F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP10196F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Community Care - Hanford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Community Care - Hanford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Reedley - Hanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.