NPIMap

Organization Active NPI

Columbia Lutheran Charities

  • Critical Access Hospital
  • Astoria, OR
National Provider Identifier
1700809761
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1146 Issued in OR
Legal business name
COLUMBIA LUTHERAN CHARITIES
Practice address
550 22ND St
Astoria, OR 97103-3312
Phone
(503) 338-7595
Fax
(503) 325-4905
NPI assigned
Jul 25, 2006
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Terry O Finklein, RPH, MBA, CHE
Title
Chief Executive Officer
Phone
(503) 325-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1146 OR Primary

Addresses

Primary practice location

550 22ND St
Astoria, OR 97103-3312

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Other identifiers 3

IdentifierTypeStateIssuer
13800MedicaidOR
170989MedicaidOK
7107931MedicaidWA

Other names 1

  • CMH Women's Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021217000028 OR Part A Provider - Critical Access Hospital 5294643359 Receives reassigned benefits from 299 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700809761. Details of each certification follow.

Hospital certification: CCN 381320

Legal name
COLUMBIA LUTHERAN CHARITIES
Doing business as
COLUMBIA MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Jan 31, 2006
Beds
49 (25 certified)
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1958 in OR
Enrollment address
2111 Exchange St
Astoria, OR 97103-3329
Main/Primary Hospital Location

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Columbia Memorial HospitalCCN 381320 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Columbia Lutheran Charities13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

550 22ND St
Astoria, OR 97103
Phone (503) 338-7554

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Paul Haines Individual Corporate DirectorBoard Member Nov 5, 2020 5%
Patricia J Danforth Individual Corporate DirectorBoard Member Dec 1, 2016 5%
Doug Kaup Individual Corporate DirectorBoard Member Dec 1, 2016 5%
Matthew Phillips Individual Corporate DirectorBoard Member Nov 5, 2020 5%
Erik W Thorsen Individual Corporate Officer Mar 2, 2004
W-2 Managing EmployeeCeo Nov 16, 2007 25%
Reanna Thomasson Individual W-2 Managing EmployeePatient Financial Services Manager Nov 9, 2023
Robert L Holland Individual Corporate DirectorBoard Member Dec 5, 2013 5%
David Nygaard Individual Corporate DirectorBoard Member Dec 31, 2016 5%
Constance Carol Waisanen Individual Corporate DirectorBoard Member Mar 5, 2009 5%
Mike Autio Individual Corporate DirectorBoard Member Apr 12, 2018 5%
Mark Smith Individual Corporate DirectorBoard Member Dec 1, 2013 5%
Jeanette Schacher Individual W-2 Managing Employee Dec 18, 2016 5%
Operational/Managerial Control Dec 18, 2016 5%
Quratulain Durrani Individual Corporate DirectorBoard Member Aug 15, 2022 5%
James a Heilman Individual Corporate DirectorBoard Member May 2, 2019 5%
Heather Ann Seppa Individual Corporate DirectorBoard Member Nov 1, 2007 5%
Nancy R McAllister Individual Corporate DirectorBoard Member Apr 23, 1992 5%
William Walter Landwehr Individual Corporate DirectorBoard Member Jan 8, 2009 5%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 410

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

View all 410

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1700809761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321",
            "fax_number": "503-325-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 22ND ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033312",
            "telephone_number": "503-338-7595",
            "fax_number": "503-325-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA LUTHERAN CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FINKLEIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-325-4321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MBA, CHE"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13800",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170989",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107931",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Women's Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.