NPIMap

Organization Active NPI

Morrow County Health District

Doing business as Pioneer Memorial Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Heppner, OR
National Provider Identifier
1770514481
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
141444 Issued in OR
Legal business name
MORROW COUNTY HEALTH DISTRICT
Doing business as
Pioneer Memorial Swingbed
Practice address
564 E. Pioneer Drive
Heppner, OR 97836
Phone
(541) 676-2925
Fax
(541) 676-2901
NPI assigned
Jul 5, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mrs. Nicole Mahoney
Title
Cfo
Phone
(541) 676-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 141444 OR Primary

Addresses

Primary practice location

564 E. Pioneer Drive
Heppner, OR 97836

Mailing address

PO Box 9
Heppner, OR 97836-0009
Phone (541) 676-2925

Other identifiers 1

IdentifierTypeStateIssuer
800891MedicaidOR

Other names 1

  • Pioneer Memorial Swingbed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226001024 OR Part B Supplier - Clinic/Group Practice 2365359296 Receives reassigned benefits from 40 practitioners
2 other NPIs on this enrollment
Practice locations: Heppner, OR; Ione, OR; Irrigon, OR
O20071003000348 OR Part A Provider - Critical Access Hospital 2365359296 Practice locations: Heppner, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770514481. Details of each certification follow.

Hospital certification: CCN 38Z310

Legal name
MORROW COUNTY HEALTH DISTRICT
Doing business as
PIONEER MEMORIAL HOSPITAL & NURSING FACILITY
Organization structure
OtherNon-profit
Enrollment address
564 E Pioneer Dr
Heppner, OR 97836-7318
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Boardman Irrigon Medica8 organizations share this tax ID, including this one
Part of
Boardman Irrigon Medica

Other organizations with this tax ID 7

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

Locations

1446 W Pico Ave
#1
El Centro, CA 92243
Phone (714) 767-5659

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Morrow County Health District Organization, Heppner, OR Non-profit 5% Or Greater Direct Ownership Interest Jan 13, 2010
Annetta Spicer Individual Corporate DirectorBoard Director Jul 1, 2025
Stephen Munkers Individual Corporate Director Jul 1, 2023
Janet Greenup Individual Corporate DirectorBoard Director Jul 1, 2025
Jason Hanna Individual Corporate DirectorBoard Director Jul 1, 2025
Robert J Houser Individual W-2 Managing EmployeeChief Executive Director Jul 1, 2025
Julie Baker Individual Corporate OfficerCompliance Officer Jul 1, 2025
Russel J Nichols Individual Corporate DirectorBoard Director Jul 1, 2025

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Pioneer Memorial Home HealthHeppner, OR, CCN 387038 Home health agency 5% Or Greater Direct Ownership Interest Mar 4, 2010
Pioneer Memorial HospiceHeppner, OR, CCN 381546 Hospice 5% Or Greater Direct Ownership Interest (100%) Sep 9, 2002
Pioneer Memorial ClinicHeppner, OR, CCN 383984 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 4, 2010
Irrigon Medical ClinicIrrigon, OR, CCN 383987 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 1998
Morrow County Health DistrictIone, OR, CCN 388518 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 17, 2015

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1770514481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360009",
            "telephone_number": "541-676-2925",
            "fax_number": "541-676-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 E. PIONEER DRIVE",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "97836",
            "telephone_number": "541-676-2925",
            "fax_number": "541-676-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW COUNTY HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER MEMORIAL HOSPITAL",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-676-2925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OR",
            "license": "141444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800891",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Memorial Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heppner, OR

Sources for this page

Verify at the official NPI Registry.