NPIMap

Organization Active NPI

Oroville Hospital

  • Clinic/Center
  • Oroville, CA
National Provider Identifier
1780788018
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OROVILLE HOSPITAL
Practice address
900 Oro Dam Blvd E
Oroville, CA 95965-5832
Phone
(530) 534-9183
Fax
(530) 533-8361
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mr. Robert J Wentz
Title
Ceo/President
Phone
(530) 533-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

900 Oro Dam Blvd E
Oroville, CA 95965-5832

Mailing address

2767 Olive Hwy
Oroville, CA 95966-6118

Other identifiers 1

IdentifierTypeStateIssuer
RHM058584FMedicaidCA

Other names 1

  • Premier Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111000710 CA Part A Provider - Rural Health Clinic 1254234339 Practice locations: Oroville, CA

Rural health clinic certification: CCN 058584

Legal name
OROVILLE HOSPITAL
Doing business as
PREMIER HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 2, 2002
Last certification
Jun 16, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1985 in CA
Enrollment address
900 Oro Dam Blvd E
Oroville, CA 95965-5832
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

National Provider Directory

National Provider Directory
Tax ID family
Thomas R Newlandercrna34 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 of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

203 Walker St
Ste 2
Orland, CA 95963
Phone (530) 864-6430

2767 Olive Hwy
#C48573
Oroville, CA 95966

1611 Feather River Blvd
Ste 6
Oroville, CA 95965
Phone (530) 532-8504

2809 Olive Hwy
Ste 320
Oroville, CA 95966
Phone (530) 532-8181

2721 Olive Hwy
Ste 9D
Oroville, CA 95966
Phone (530) 532-8071

1290 Lincoln Rd
Ste 2
Yuba City, CA 95991
Phone (530) 674-7655

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
Robert J Wentz Individual Corporate OfficerCeo Mar 1, 2004 100%
Corporate DirectorCeo/President Nov 11, 2004 100%
W-2 Managing EmployeeCeo Nov 1, 1984
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 OfficerChief Reimbursement Officer 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.

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1780788018",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655832",
            "telephone_number": "530-534-9183",
            "fax_number": "530-533-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROVILLE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-533-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM058584F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Premier Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.