Active NPI
McKenzie-Willamette Regional Medical Center Associates LLC
Doing business as McKenzie-Willamette Medical Center
- General Acute Care Hospital
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 394902
- Legal business name
- MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC
- Doing business as
- McKenzie-Willamette Medical Center
- Practice address
- 1460 G St
Springfield, OR 97477-4112 - Phone
- (541) 726-4401
- Fax
- (541) 726-4540
- NPI assigned
- May 15, 2006
- Last updated
- Feb 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Fey
- Title
- VP Phys Services Financial Ops/Ao
- Phone
- (615) 221-3641
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | ||
| General Acute Care Hospital | 282N00000X | 394902 | OR | Primary |
Addresses
Primary practice location
1460 G St
Springfield, OR 97477-4112
Mailing address
1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232828 | Medicaid | OR |
Other names 1
- McKenzie-Willamette Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118001109 | OR | Part A Provider - Hospital | 5092629436 | Practice locations: Eugene, OR; Springfield, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1568413573. Details of each certification follow.
Hospital certification: CCN 380020
- Legal name
- MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC
- Doing business as
- MCKENZIE-WILLAMETTE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 26, 2003
- Beds
- 113
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Oct 1, 2003 (1 total)
- Organization structure
- LLC
- Incorporated
- Aug 29, 2003 in DE
- Enrollment address
- 1460 G St
Springfield, OR 97477-4112 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- McKenzie-Willamette Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- McKenzie Willamette Regional Medical Center Associates LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Springfield, OR
- NPI 1033926167
-
- Non-Pharmacy Dispensing Site
- Springfield, OR
- NPI 1942146402
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
Member Of
-
dba Cascade Health
- Community Based Hospice Care Agency
- Eugene, OR
- NPI 1093753386
Member Of
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Henry Kunath | Corporate Officer | Sep 6, 2023 | |
| Corporate Director | Sep 6, 2023 | ||
| Christopher M Harrison | Corporate Officer | Apr 1, 2025 | |
| Corporate Director | Apr 1, 2025 | ||
| Quorum Health Corporation | 5% Or Greater Indirect Ownership Interest | Apr 29, 2016 | 100% |
| Gtam Onshore Blocker 2 LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2023 | 19.34% |
| Goldentree Distressed Onshore Master Fund III LP | 5% Or Greater Indirect Ownership Interest | Aug 5, 2020 | 13.07% |
| Laura Fey | Corporate Director | Aug 27, 2018 | |
| W-2 Managing Employee | Aug 27, 2018 | ||
| Goldentree Select Offshore Intermediate Fund LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 82.37% |
| Quorum Health Investment Company LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 99% |
| Goldentree Distressed Master Fund III LTD | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Quincy Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz | Corporate Director | Aug 10, 2022 | |
| MWMC Holdings LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 96% |
| Donald Esposito | Corporate Officer | Sep 16, 2021 | |
| Corporate Director | Sep 16, 2021 |
Facilities with the same owner 32
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Alpine, TX
- NPI 1275988669
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Big Bend Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Alpine, TX
- NPI 1689773756
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Scenic Mountain Medical Center
- General Acute Care Hospital
- Big Spring, TX
- NPI 1336976034
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
dba Scenic Mountain Medical Center
- Psychiatric Hospital Unit
- Big Spring, TX
- NPI 1770310476
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
dba Mimbres Valley Medical Group
- Rural Health Clinic/Center
- Deming, NM
- NPI 1134526221
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Deming, NM
- NPI 1710196571
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Critical Access Hospital
- Deming, NM
- NPI 1891075446
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Bridger Valley Medical Group
- Rural Health Clinic/Center
- Lyman, WY
- NPI 1134666944
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
dba Evanston Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Evanston, WY
- NPI 1356313506
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Bridger Valley Medical Group
- Rural Health Clinic/Center
- Mountain View, WY
- NPI 1427595271
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
dba Evanston Regional Hospital
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
Practitioners & affiliated clinicians
Practitioners 60
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.
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1386101913
-
- Neurological Surgery Physician
- Eugene, OR
- NPI 1902000599
-
- Surgery Physician
- Springfield, OR
- NPI 1255826434
-
- Cardiovascular Disease Physician
- Eugene, OR
- NPI 1225309685
-
- Foot & Ankle Surgery Podiatrist
- Eugene, OR
- NPI 1215420625
-
- Cardiovascular Disease Physician
- Springfield, OR
- NPI 1659379824
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1962763185
-
- Surgical Critical Care Physician
- Portland, OR
- NPI 1639379811
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1679867071
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Medford, OR
- NPI 1558596312
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1801317631
-
- Internal Medicine Physician
- Springfield, OR
- NPI 1598744658
Affiliated clinicians 232
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Springfield, OR
- NPI 1346538360
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Eugene, OR
- NPI 1639564065
Hospital
-
- Hospitalist Physician
- Springfield, OR
- NPI 1154849446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708560000000",
"number": "1568413573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 G ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774112",
"telephone_number": "541-726-4401",
"fax_number": "541-726-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 G ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774112",
"telephone_number": "541-726-4401",
"fax_number": "541-726-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "FEY",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "VP PHYS SERVICES FINANCIAL OPS/AO",
"authorized_official_telephone_number": "615-221-3641"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OR",
"license": "394902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232828",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McKenzie-Willamette Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "McKenzie-Willamette Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, OR
- McKenzie Surgical Group PC
- McKenzie Willamette Afh LLC
- McKenzie Willamette Regional Medical Center Associates LLC
- McKenzie Willamette Regional Medical Center Associates LLC (McKenzie-Willamette Medical Center)
- McKenzie Willamette Regional Medical Center Associates LLC
- Jennifer Nicole McKeon
- Roger M McKimmy, MD
- Jennifer A. McKinney, PA
- Kayce Danielle McKnight
- Matthew Lowell McLaughlin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.