NPIMap

Organization Active NPI

Curry Health District

Doing business as Curry General Hospital

  • Critical Access Hospital
  • Gold Beach, OR
National Provider Identifier
1487696985
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
14-0251 Issued in OR
Legal business name
CURRY HEALTH DISTRICT
Doing business as
Curry General Hospital
Practice address
94220 4TH St
Gold Beach, OR 97444-7756
Phone
(541) 247-3000
Fax
(541) 247-3101
NPI assigned
Jun 11, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Virginia A. Williams
Title
Ceo
Phone
(541) 247-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 14-0251 OR Primary

Addresses

Primary practice location

94220 4TH St
Gold Beach, OR 97444-7756

Mailing address

94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000

Other identifiers 1

IdentifierTypeStateIssuer
119263MedicaidOR

Other names 1

  • Curry General Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000983 OR Part B Supplier - Clinic/Group Practice 2365352747 Receives reassigned benefits from 63 practitioners
5 other NPIs on this enrollment
Practice locations: Brookings, OR; Eugene, OR; Gold Beach, OR; West Linn, OR
O20061104000479 OR Part A Provider - Critical Access Hospital 2365352747 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
Practice locations: Gold Beach, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487696985. Details of each certification follow.

Hospital certification: CCN 381322

Legal name
CURRY HEALTH DISTRICT
Doing business as
CURRY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 18, 2004
Last certification
Jun 8, 2023
Beds
24
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1983 in OR
Enrollment address
94220 4TH St
Gold Beach, OR 97444-7756
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Curry General HospitalCCN 381322 · All quality measures
Overall star rating
2 of 5
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
38D0627147Curry HLTH Dist Dba Curry General Hospital94220 4TH St, Gold Beach, OR 97444ComplianceOct 10, 2027
38D2025664Coumadin Clinic Curry General Hospital Annex94220 4TH Street, Gold Beach, OR 97444Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Locations

500 5th St
Brookings, OR 97415
Phone (541) 412-2000

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Karen Kennedy Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2015
Corporate DirectorBoard Member Jul 1, 2015 20%
Derral Edward Hawthorne Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021 20%
Curry Health District Organization, Gold Beach, OR Corporation, Non-profit Other Sep 20, 2013 100%
Virginia a Williams Individual 5% Or Greater Direct Ownership Interest May 4, 2015 100%
Corporate OfficerChief Executive Officer May 4, 2015 100%
W-2 Managing EmployeeChief Executive Officer May 4, 2015 100%
Operational/Managerial ControlCeo May 4, 2015 100%
Bryan R Grummon Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2019
Corporate DirectorBoard Member Jul 1, 2019 20%
Maarten Van Otterloo Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 29, 2020
Corporate DirectorBoard Member Jul 29, 2020 20%
Joel Hensley Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021 20%

Owners & managing parties with NPI records 4

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
Curry Family MedicalPort Orford, OR, CCN 383990 Rural health clinic Operational/Managerial Control (100%) Aug 20, 2003
Curry Medical NorthGold Beach, OR, CCN 388555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 3

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

  • Curry Health District

    dba Curry Medical Center (formerly Brookings Medical Center)

    • Critical Access Hospital Clinic/Center
    • Brookings, OR
    • NPI 1083656367

    Other

    CMS ownership
  • Curry Health District

    dba Curry Medical North

    • Rural Health Clinic/Center
    • Gold Beach, OR
    • NPI 1770303968

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curry Health District

    dba Curry Family Medical

    • Rural Health Clinic/Center
    • Port Orford, OR
    • NPI 1811939093

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 65

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 65

Affiliated clinicians 329

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

View all 329

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1487696985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-247-3108"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "14-0251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curry General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.