NPIMap

Organization Active NPI

Oroville Hospital

  • Rural Health Clinic/Center
  • Oroville, CA
National Provider Identifier
1740583095
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
230000022 Issued in CA
Legal business name
OROVILLE HOSPITAL
Practice address
2721 Olive Hwy
Suite 9
Oroville, CA 95966-6115
Phone
(530) 533-8500
NPI assigned
Dec 8, 2010
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Colleen Sue Duncan
Title
Cfo
Phone
(530) 532-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 230000022 CA Primary

Addresses

Primary practice location

2721 Olive Hwy
Suite 9
Oroville, CA 95966-6115

Mailing address

2767 Olive Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500

Other names 1

  • Family Medicine Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110202000501 CA Part A Provider - Rural Health Clinic 1254234339 Practice locations: Oroville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740583095. Details of each certification follow.

Rural health clinic certification: CCN 058656

Legal name
OROVILLE HOSPITAL
Doing business as
FAMILY MEDICINE PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 21, 2011
Last certification
Jul 23, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1985 in CA
Enrollment address
2721 Olive Hwy
Ste 9
Oroville, CA 95966-6115
Related CCNs
050030

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2018300Family Medicine Practice2721 Olive Hwy, Oroville, CA 95966Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Hosp34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2721 Olive Hwy
Ste 10
Oroville, CA 95966
Phone (530) 533-1554

2721 Olive Hwy
Ste 12A
Oroville, CA 95966
Phone (530) 532-8687

2721 Olive Hwy
Ste 12B
Oroville, CA 95966
Phone (530) 532-8584

2721 Olive Hwy
Ste 9
Oroville, CA 95966
Phone (530) 532-4400

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Colleen Sue Duncan Individual Corporate OfficerCfo Jan 31, 2020
W-2 Managing EmployeeController Feb 2, 2009
Robert J Wentz Individual Corporate OfficerCeo/President Mar 1, 2004 100%
Corporate DirectorCeo/President Mar 1, 2004 100%
W-2 Managing EmployeeCeo/President Mar 1, 2004 100%
Matthew J Bazzani Individual Corporate DirectorBoard Member Oct 14, 2014
Roy C Shannon Individual Corporate DirectorBoard Member Sep 25, 2014
Sultan M Chopan Individual Corporate DirectorBoard Member Sep 25, 2014
Margaret F Mallette Individual Corporate DirectorBoard Member May 21, 2008
Seng Yang Individual Corporate DirectorBoard Member Feb 1, 2022
Jo L Dilbeck Individual Corporate OfficerCro Sep 1, 2003
Edward R Gilbert Individual Corporate DirectorBoard Member Sep 25, 2014
James H Moll Individual Corporate DirectorBoard Member Sep 25, 2014

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Oroville Hospital Post Acute CenterOroville, CA, CCN 555281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019

Owned or controlled facilities with NPI records 1

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

  • Oroville Hospital

    dba Oroville Hospital Post-Acute Center

    • Skilled Nursing Facility
    • Oroville, CA
    • NPI 1427006485

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1740583095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666118",
            "telephone_number": "530-533-8500",
            "fax_number": "530-538-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 OLIVE HWY",
            "address_2": "SUITE 9",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666115",
            "telephone_number": "530-533-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROVILLE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-532-8509"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "230000022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Practice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Medicine Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.