NPIMap

Organization Active NPI

Willits Hospital Inc

Doing business as Adventist Health Howard Memorial

  • Rural Health Clinic/Center
  • Willits, CA
National Provider Identifier
1437551652
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WILLITS HOSPITAL INC
Doing business as
Adventist Health Howard Memorial
Practice address
3 Marcela Dr
Willits, CA 95490-5769
Phone
(707) 459-6115
Fax
(707) 459-1345
NPI assigned
Sep 18, 2014
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Parker J Pridgen
Title
President
Phone
(707) 456-3010

Specialties & licenses 1

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

Addresses

Primary practice location

3 Marcela Dr
Willits, CA 95490-5769

Mailing address

PO Box 888828
Los Angeles, CA 90088-8828
Phone (707) 459-6115

Other names 1

  • Adventist Health Howard Memorial Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209001732 CA Part A Provider - Rural Health Clinic 7416940697 Practice locations: Willits, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437551652. Details of each certification follow.

Rural health clinic certification: CCN 058680

Legal name
WILLITS HOSPITAL INC
Doing business as
ADVENTIST HEALTH HOWARD MEMORIAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 26, 2015
Last certification
Mar 26, 2015
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 1986 in CA
Enrollment address
3 Marcela Dr
Willits, CA 95490-5769
Related CCNs
051310

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).

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
05D2094607Willits Hospital Inc3 Marcela Dr, Willits, CA 95490Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Frank R Howard Telediag2 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 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 Officer Jan 1, 2022
Corporate DirectorBoard Member Dec 15, 2014
John H Cress Individual Corporate DirectorBoard Member Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Eric a Stevens Individual Corporate OfficerPresident & Vice Chair Jul 8, 2024
W-2 Managing EmployeePresident Jul 8, 2024
Richard K Reiner Individual Corporate DirectorBoard Member Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorBoard Member Oct 1, 2020
Jonathan J Daggett Individual Corporate DirectorBoard Member Jan 1, 2024
Andrew R Davis Individual Corporate DirectorBoard Member May 5, 2017
Ann K Beckett Individual Corporate DirectorBoard Member Jan 1, 2024
Marc K Woodson Individual Corporate DirectorBoard Member Jan 1, 2019
John C Freedman Individual Corporate DirectorBoard Member Sep 26, 2016
Jeffrey R Mock Individual Corporate OfficerTreasurer Sep 18, 2023
Jack W Wagner Individual Corporate DirectorBoard Member Dec 1, 2022
Kenneth Jutzy Individual Corporate DirectorBoard Member Jan 1, 2024
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, Chain home office Operational/Managerial Control Jun 16, 1980 100%

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 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1437551652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888828",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888828",
            "telephone_number": "707-459-6115",
            "fax_number": "707-459-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARCELA DR",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954905769",
            "telephone_number": "707-459-6115",
            "fax_number": "707-459-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLITS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-456-3010"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3 Marcela Dr",
            "city": "Willits",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954905769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adventist Health Howard Memorial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willits, CA

Sources for this page

Verify at the official NPI Registry.