NPIMap

Colusa Medical Center, LLC

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

NPI 1497545628 · NPPES record last updated May 9, 2025

Key facts

NPI
1497545628
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
COLUSA MEDICAL CENTER, LLC
Practice address
1133 W Sycamore St
Willows, CA 95988-2601
Phone
(530) 934-1816
NPI assigned
May 9, 2025
Organization subpart
Yes
Parent organization (as reported)
COLUSA MEDICAL CENTER LLC

Authorized official

Name
Tammy Jean Thompson
Title
VP Finance/Cfo
Phone
(209) 287-6308

Owners & managing parties with NPI records 12

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

Owned or controlled facilities with NPI records 9

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

Other NPIs with the same Medicare PAC ID 11

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

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 9

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

Practitioners 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Rural health clinic certification: CCN 053981

Legal name
COLUSA MEDICAL CENTER, LLC
Doing business as
FAMILY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 14, 1989
Last certification
Apr 10, 2015
Ownership / control type
2B
Most recent change of ownership
Jun 1, 2025 (5 total)
Organization structure
LLC · Proprietary
Enrollment address
1133 W Sycamore St
Willows, CA 95988-2601
Related CCNs
051306

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Lovepreet Kaur
Individual 		W-2 Managing Employee
Director of Clinic Services		 Jun 28, 2021
Operational/Managerial Control
Director of Clinic Services		 Jun 28, 2021
Gurpreet Singh Randhawa
Individual 		5% Or Greater Indirect Ownership Interest
Owner of Colusa Medical Center		 Aug 1, 2018
Corporate Officer
Board Member		 Aug 1, 2018
Colusa Medical Center, LLC
Organization · Willows, CA
LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Jun 1, 2025 100%
Tammy Thompson
Individual 		Corporate Director
Cfo/VP Finance		 Aug 1, 2018

All facility ownership & control disclosures 10

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

FacilityTypeRoleSince
Colusa Medical Center - Acute
Colusa, CA · CCN 050783		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center-Acute
Colusa, CA · CCN 05U783		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center - SNF
Colusa, CA · CCN 555909		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jun 27, 2018
Colusa Medical Center
Williams, CA · CCN 058696		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center
Arbuckle, CA · CCN 058695		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center
Colusa, CA · CCN 058697		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLC
Red Bluff, CA · CCN 058722		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLC
Orland, CA · CCN 058720		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
First Care Medical Associates
Orland, CA · CCN 058922		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Glenn Family Medical Group
Willows, CA · CCN 058572		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025

Change-of-ownership history

DateEventCounterparty
Jun 1, 2025 Change of Ownership
This provider was the buyer		 Family Care Center
CCN 053981 · CA · NPI 1356388961

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250812001533 CA Part a Provider - Rural Health Clinic 4183901978 Practice locations: Willows, CA

National Provider Directory

Tax ID family
Colusa Medical Center LLC (10 organizations share this tax ID)
Part of
Colusa Medical Center LLC

Specialties & licenses

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

Addresses

Primary practice location

1133 W Sycamore St
Willows, CA 95988-2601

Mailing address

199 E Webster St
Colusa, CA 95932-0019

Other names

  • FAMILY CARE CENTER Other name

Other providers in Willows, CA

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

Sources for this page

Verify at the official NPI Registry.