NPIMap

Organization Active NPI

Reedley Community Hospital

  • Rural Health Clinic/Center
  • Huron, CA
National Provider Identifier
1528041779
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
040000140 Issued in CA
Legal business name
REEDLEY COMMUNITY HOSPITAL
Practice address
16916 5TH St
Huron, CA 93234-0000
Phone
(559) 587-4349
Fax
(559) 587-4366
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Andrea Kofl
Title
Central Valley Network President
Phone
(559) 537-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 040000140 CA Primary

Addresses

Primary practice location

16916 5TH St
Huron, CA 93234-0000

Mailing address

PO Box 888806
Los Angeles, CA 90088-8806
Phone (559) 587-4349

Other identifiers 1

IdentifierTypeStateIssuer
RHM18611FMedicaidCA

Other names 2

  • Adventist Health Community Care - Huron Doing business as
  • Adventist Health Reedley - Huron Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151029001174 CA Part A Provider - Rural Health Clinic 0941460984 Practice locations: Huron, CA

Rural health clinic certification: CCN 058611

Legal name
REEDLEY COMMUNITY HOSPITAL
Doing business as
ADVENTIST HEALTH REEDLEY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 15, 2005
Last certification
Jul 12, 2019
Ownership / control type
2B
Most recent change of ownership
Dec 1, 2015 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2011 in CA
Enrollment address
16916 5TH St
Huron, CA 93234-0250
Related CCNs
050192

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

National Provider Directory

National Provider Directory
Tax ID family
Reedley Community Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jason Wells Individual Corporate OfficerPresident Jan 1, 2024
W-2 Managing EmployeeAd; Jan 1, 2024
Kerry L Heinrich Individual Corporate DirectorBoard Member Dec 16, 2014
John H Cress Individual Corporate DirectorDirector Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Eric a Stevens Individual Corporate OfficerVice Chair Mar 5, 2025
Heidar Thordarson Individual Corporate OfficerTreasurer Jan 6, 2025
Richard K Reiner Individual Corporate DirectorDirector Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorDirector Oct 1, 2020
Jonathan J Daggett Individual Corporate DirectorDirector Jan 1, 2024
Andrew R Davis Individual Corporate DirectorDirector May 5, 2017
Ann K Beckett Individual Corporate DirectorDirector Jan 1, 2024
Marc K Woodson Individual Corporate OfficerDirector Jan 1, 2019
John C Freedman Individual Corporate DirectorDirector Sep 26, 2016
Jack W Wagner Individual Corporate DirectorDirector Dec 1, 2022
Kenneth Jutzy Individual Corporate DirectorDirector Jan 1, 2024
Bradford C Newton Individual Corporate DirectorDirector Aug 16, 2021
Robert a Cherry Individual Corporate Director May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Sep 19, 2011
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control Jan 1, 2012 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1528041779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888806",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16916 5TH ST",
            "city": "HURON",
            "state": "CA",
            "postal_code": "932340000",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KOFL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CENTRAL VALLEY NETWORK PRESIDENT",
        "authorized_official_telephone_number": "559-537-0056"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "040000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18611F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Community Care - Huron",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Community Care - Huron",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Reedley - Huron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huron, CA

Sources for this page

Verify at the official NPI Registry.