Morrow County Health District
Organization
Active NPI
Home Health Agency · Heppner, OR
NPI 1720019441 · NPPES record last updated May 24, 2016
Key facts
- NPI
- 1720019441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 13141444 (OR)
- Legal business name
- MORROW COUNTY HEALTH DISTRICT
- Practice address
- 564 E. Pioneer Dr.
Heppner, OR 97836
- Phone
- (541) 676-2925
- Fax
- (541) 676-2901
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nicole Mahoney
- Title
- Cfo
- Phone
- (541) 676-2925
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 7
Organizations that report the same tax identification number in the National Provider Directory.
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Justin Cameron Physician Assistant · Fossil, OR · NPI 1639659279
-
Rebecca Humphreys Clinical Social Worker · Heppner, OR · NPI 1265831747
-
Emily Jack, MD
Family Medicine Physician · Heppner, OR · NPI 1275197691
-
Lori Lammers, FNP
Family Nurse Practitioner · Irrigon, OR · NPI 1841669991
-
Hanorah Brighid McDonald, FNP AGACNP
Family Medicine Physician · Fossil, OR · NPI 1730765579
-
Jamie Inez Reed, LCSW
Clinical Social Worker · Irrigon, OR · NPI 1427689595
-
Amanda Ann Roy, PA-C
Physician Assistant · Fossil, OR · NPI 1669816898
-
Jon Watson, PA-C
Physician Assistant · Irrigon, OR · NPI 1093284705
-
Jeffrey Joseph Westin, M.D.
Emergency Medicine Physician · The Dalles, OR · NPI 1427219351
-
Jeremy Robert Austin, M.D.
Family Medicine Physician · Redding, CA · NPI 1104849140
-
Jack M. Bertman, M.D.
Emergency Medicine Physician · San Francisco, CA · NPI 1891777967
-
Stuart E Clive, MD
Emergency Medicine Physician · Mankato, MN · NPI 1053396614
-
Michael David Metzler, M.D.
Emergency Medicine Physician · Chesterfield, MO · NPI 1265494108
-
Christine Michelle Seals, MD
Family Medicine Physician · Ekalaka, MT · NPI 1164412755
-
Jianming Song, M.D.
Family Medicine Physician · Everett, WA · NPI 1073702817
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Medicare Care Compare: Home health agency
- Listed as
- Pioneer Memorial Home Health CCN 387038
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Non-Profit
- Certified
- Oct 8, 1977
- Medicare certification status
- Active (Provider of Services file)
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology
Source: Medicare Care Compare.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Home health agency certification: CCN 387038
- Legal name
- MORROW COUNTY HEALTH DISTRICT
- Doing business as
- PIONEER MEMORIAL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 8, 1977
- Last certification
- Jul 21, 2021
- Ownership / control type
- Non-Profit
- Organization structure
- Other · Non-profit
- Enrollment address
- 162 N Main St
Heppner, OR 97836-5001
All disclosed owners & managing parties 7
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 |
|---|
Morrow County Health District
Organization · Heppner, OR
Corporation |
5% Or Greater Direct Ownership Interest |
Mar 4, 2010 |
|
Annetta Spicer
Individual
|
Corporate Director
Director |
Jul 1, 2025 |
|
Stephen Munkers
Individual
|
Corporate Director |
Jul 1, 2023 |
|
Janet Greenup
Individual
|
Corporate Director
Director |
Jul 1, 2025 |
|
Jason Hanna
Individual
|
Corporate Director
Director |
Jul 1, 2025 |
|
Julie Baker
Individual
|
Corporate Officer
Chief Compliance Officer |
Jul 1, 2025 |
|
W-2 Managing Employee
Chief Compliance Officer |
Jul 1, 2025 |
|
Russel J Nichols
Individual
|
Corporate Director
Director |
Jul 1, 2025 |
|
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|
Pioneer Memorial Hospital & Nursing Facility
Heppner, OR · CCN 38Z310 |
Hospital |
5% Or Greater Direct Ownership Interest |
Jan 13, 2010 |
Pioneer Memorial Hospice
Heppner, OR · CCN 381546 |
Hospice |
5% Or Greater Direct Ownership Interest (100%) |
Sep 9, 2002 |
Pioneer Memorial Clinic
Heppner, OR · CCN 383984 |
Rural health clinic |
5% Or Greater Direct Ownership Interest |
Mar 4, 2010 |
Irrigon Medical Clinic
Irrigon, OR · CCN 383987 |
Rural health clinic |
5% Or Greater Direct Ownership Interest (100%) |
Sep 1, 1998 |
Morrow County Health District
Ione, OR · CCN 388518 |
Rural health clinic |
5% Or Greater Direct Ownership Interest (100%) |
Aug 17, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20050712000549 |
OR |
Part a Provider - Home Health Agency |
2365359296 |
Practice locations: Heppner, OR |
National Provider Directory
- Tax ID family
- Boardman Medical Clinic (8 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Home Health Agency |
251E00000X |
13141444 |
OR |
Yes |
Addresses
Primary practice location
564 E. Pioneer Dr.
Heppner, OR 97836
Mailing address
PO Box 9
Heppner, OR 97836-0009
Phone (541) 676-2925
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 134705 | Medicaid | OR | |
Other names
- Pioneer Memorial Home Health Doing business as
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.