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Last Frontier Healthcare District

Organization Active NPI Rural Health Clinic/Center · Alturas, CA

NPI 1487764064 · NPPES record last updated Dec 28, 2022

Key facts

NPI
1487764064
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
LAST FRONTIER HEALTHCARE DISTRICT
Practice address
1111 N Nagle St
Alturas, CA 96101-3840
Phone
(530) 708-8801
Fax
(530) 233-6609
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

Name
Kevin Kramer
Title
Ceo
Phone
(530) 708-8801

Owners & managing parties with NPI records 5

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.

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 4

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 48

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

View all 48

Affiliated clinicians 87

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

View all 87

Medicare Care Compare: Hospital

Listed as
Modoc Medical Center CCN 051330
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Hospital certification: CCN 051330

Legal name
LAST FRONTIER HEALTHCARE DISTRICT
Doing business as
MODOC MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 9, 2008
Last certification
Apr 24, 2025
Beds
8
Ownership / control type
Hospital district or authority
Most recent change of ownership
Aug 23, 2011 (1 total)
Organization structure
Government · Non-profit
Enrollment address
1111 N Nagle St
Alturas, CA 96101-3840
Other Hospital Practice Location

Rural health clinic certification: CCN 053988

Legal name
LAST FRONTIER HEALTHCARE DISTRICT
Doing business as
MODOC MEDICAL CENTER FAMILY PRACTICE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 2, 1992
Last certification
May 14, 2014
Ownership / control type
Non-profit – church related
Organization structure
Government · Non-profit
Enrollment address
1111 N Nagle St
Alturas, CA 96101-3840
Related CCNs
051330

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Carol a Madison
Individual 		Corporate Director
Member Board of Directors		 Jan 1, 2018
Corporate Director
Member Board of Directors		 Jan 9, 2013
Last Frontier Healthcare District
Organization · Alturas, CA 		5% Or Greater Direct Ownership Interest Oct 12, 2010
5% Or Greater Direct Ownership Interest Aug 23, 2011 100%
Kevin Kramer
Individual 		Corporate Officer
Chief Executive Officer		 Jul 21, 2013
Operational/Managerial Control
Chief Executive Officer		 Jul 21, 2013
Edouard J Cavasso
Individual 		Corporate Director
Vice Chair Board of Directors		 Jan 9, 2013
Patrick J Fields
Individual 		Corporate Officer
Finance Director		 Aug 28, 2017
W-2 Managing Employee
Finance Director		 Aug 28, 2017
Corporate Officer
Chief Financial Officer		 Aug 28, 2018
Edward P Richert
Individual 		Contracted Managing Employee Dec 7, 2007
Corporate Officer
Vice Chief of Staff		 Jun 1, 2012

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Modoc Medical Center
Alturas, CA · CCN 051330		 Hospital 5% Or Greater Direct Ownership Interest Oct 12, 2010
Modoc Medical Center
Alturas, CA · CCN 05Z330		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 16, 2008
Last Frontier Healthcare District
Alturas, CA · CCN 555420		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Aug 23, 2011
Jan 1, 2010
Jan 1, 2010
Canby Family Practice Clinic
Canby, CA · CCN 058714		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080104000277 CA Part a Provider - Critical Access Hospital 2466447412 Receives reassigned benefits from 41 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alturas, CA
O20100504000332 CA Part a Provider - Rural Health Clinic 2466447412 Practice locations: Alturas, CA

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

1111 N Nagle St
Alturas, CA 96101-3840

Mailing address

PO Box 190
Alturas, CA 96101-0190
Phone (530) 708-8801

Other identifiers

IdentifierTypeStateIssuer
RHM13988FMedicaidCA
ZZZ13295ZOtherCABLUE SHIELD OF CALIFORNIA

Other names

  • Modoc Medical Center Doing business as

Other providers in Alturas, CA

All providers in Alturas, CA · Rural Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.