NPIMap

Organization Active NPI

William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
National Provider Identifier
1487648804
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
670HOS-12 Issued in NV
Legal business name
WILLIAM BEE RIRIE HOSPITAL
Practice address
1500 Avenue H
Ely, NV 89301-2615
Phone
(775) 289-3467
Fax
(775) 289-8244
NPI assigned
Aug 31, 2005
Last updated
Mar 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Mr. Matthew Walker, PHARM DNPI 1568899748
Title
Ceo
Phone
(775) 289-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
General Acute Care Hospital 282N00000X
Critical Access Hospital 282NC0060X 670HOS-12 NV Primary
Special Hospital 284300000X

Addresses

Primary practice location

1500 Avenue H
Ely, NV 89301-2615

Mailing address

1500 Avenue H
Ely, NV 89301-2615
Phone (775) 289-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031104000372 NV Part B Supplier - Clinic/Group Practice 9335051747 Receives reassigned benefits from 86 practitioners
3 other NPIs on this enrollment
Practice locations: Crescent Valley, NV; Ely, NV; Eureka, NV
O20071129000326 NV Part A Provider - Critical Access Hospital 9335051747 Receives reassigned benefits from 40 practitioners
Practice locations: Ely, NV
O20140505000205 NV Part A Provider - Critical Access Hospital 9335051747 Practice locations: Ely, NV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1487648804. Details of each certification follow.

Hospital certification: CCN 291302

Legal name
WILLIAM BEE RIRIE HOSPITAL
Doing business as
WILLIAM BEE RIRIE CRITICAL ACCESS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Jul 9, 2020
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
1500 Ave H
Ely, NV 89301-2615
Main/Primary Hospital Location

Hospital certification: CCN 29Z302

Legal name
WILLIAM BEE RIRIE HOSPITAL
Doing business as
WILLIAM BEE RIRIE CRITICAL ACCESS HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1500 Ave H
Ely, NV 89301-2615
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).

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
William Bee Ririe HospitalCCN 291302 · 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
29D0711765William Bee Ririe Hospital Laboratory1500 Avenue H, Ely, NV 89301AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

File 749263
Los Angeles, CA 90074

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kimberly Cunningham Individual Corporate DirectorBoard Member Feb 19, 2024
Crystal Caviglia Individual Corporate Officer Jan 1, 2023
Todd Carl Wilkin Individual Corporate Officer Jan 1, 2022
Christine Stones Individual W-2 Managing Employee Sep 9, 2015
William Bee Ririe Hospital Organization, Ely, NV Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 1967
Other May 27, 2015
Matthew Walker Individual Operational/Managerial ControlChief Executive Offcer Nov 24, 2014
Corporate Officer Nov 24, 2014
Operational/Managerial Control Nov 24, 2014
Richard Rowley Individual Corporate Director Aug 1, 2011
Connie Souza Individual W-2 Managing EmployeeBilling Supervisor May 29, 2018
Julie Gianoli Individual Corporate Director Jan 2, 2008

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
William Bee Ririe HospitalEly, NV, CCN 293977 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Other		 Nov 1, 1967
Nov 1, 1967
William Bee Ririe Hospital Eureka ClinicEureka, NV, CCN 293991 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 10, 2017

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 87

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 87

Affiliated clinicians 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1487648804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVENUE H",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012615",
            "telephone_number": "775-289-3467",
            "fax_number": "775-289-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVENUE H",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012615",
            "telephone_number": "775-289-3467",
            "fax_number": "775-289-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEE RIRIE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-289-3001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": "670HOS-12",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, NV

Sources for this page

Verify at the official NPI Registry.