NPIMap

Orchard Hospital

Organization Active NPI Critical Access Hospital · Gridley, CA

NPI 1477522019 · NPPES record last updated Dec 2, 2015

Key facts

NPI
1477522019
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
230000007 (CA)
Legal business name
ORCHARD HOSPITAL
Practice address
240 Spruce St
Gridley, CA 95948-2216
Phone
(530) 846-9000
Fax
(530) 846-9027
NPI assigned
Mar 16, 2006
Organization subpart
No

Authorized official

Name
Steven Stark
Title
Ceo
Phone
(530) 846-9001

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 3

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

  • Orchard Hospital Rural Health Clinic/Center · Gridley, CA · NPI 1144378209
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Orchard Hospital Medicare Defined Swing Bed Hospital Unit · Gridley, CA · NPI 1295882819
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Orchard Hospital Rural Health Clinic/Center · Oroville, CA · NPI 1689023392
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · 5% OR GREATER SECURITY INTEREST · OPERATIONAL/MANAGERIAL CONTROL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

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

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

Facilities with the same owner 3

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

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

Affiliated clinicians 106

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

View all 106

Medicare Care Compare: Hospital

Listed as
Orchard Hospital CCN 051311
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in CA, SC

Hospital certification: CCN 051311

Legal name
ORCHARD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Jun 24, 2015
Beds
24
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Jan 1, 1990 in CA
Enrollment address
240 Spruce St
Gridley, CA 95948-2216
Other Hospital Practice Location

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Margaret I Brown
Individual 		Corporate Director
Vice Chairperson		 May 1, 2009
Joseph F Cunha
Individual 		Corporate Director May 1, 2010
Clark S Redfield
Individual 		Corporate Director
Secretary		 May 1, 2009
John T Harris
Individual 		Corporate Director
Chairperson		 May 1, 2009
Jatinder Kullar
Individual 		Corporate Director Feb 1, 2016
Steven L Stark
Individual 		Corporate Officer
Ceo		 Jan 1, 2015
W-2 Managing Employee
Ceo		 Jan 1, 2015
Curtis D Engen
Individual 		Corporate Director May 1, 2010
Orchard Hospital
Organization · Gridley, CA
Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Arthur Cota
Individual 		Corporate Director May 1, 2015
Edwin a Becker
Individual 		Corporate Director
Financial Officer		 May 1, 2009
Albert W Nielsen
Individual 		Corporate Director May 1, 2009
Kristina Sanke
Individual 		Corporate Officer
Cfo/Cco		 May 26, 2015
W-2 Managing Employee
Cfo/Cco		 May 26, 2015

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Orchard Hospital
Gridley, CA · CCN 05Z311		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard Hospital Medical Specialty Center
Gridley, CA · CCN 553982		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Orchard Hospital Medical Specialty Center Oroville
Oroville, CA · CCN 058706		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)
Operational/Managerial Control (100%)		 Oct 17, 2016
Oct 17, 2016
Oct 17, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031112000502 CA Part B Supplier - Clinic/Group Practice 6800709049 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
Practice locations: Gridley, CA
O20120315000887 CA Part a Provider - Critical Access Hospital 6800709049 Receives reassigned benefits from 4 practitioners
Practice locations: Gridley, CA
O20150212002140 SC Part B Supplier - Clinic/Group Practice 6800709049 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 230000007 CA Yes

Addresses

Primary practice location

240 Spruce St
Gridley, CA 95948-2216

Mailing address

PO Box 97
Gridley, CA 95948-0097
Phone (530) 846-9000

Other identifiers

IdentifierTypeStateIssuer
CA116385OtherCAMEDICARE ID - TYPE UNSPECIFIED
ZZR00404FMedicaidCA
051311OtherCAMEDICARE ID - TYPE UNSPECIFIED

Other providers in Gridley, CA

All providers in Gridley, CA · Critical Access Hospital in California

Sources for this page

Verify at the official NPI Registry.