NPIMap

Organization Active NPI

Asante Three Rivers Medical Center, LLC

  • General Acute Care Hospital
  • Grants Pass, OR
National Provider Identifier
1801891809
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14-1439 Issued in OR
Legal business name
ASANTE THREE RIVERS MEDICAL CENTER, LLC
Practice address
500 SW Ramsey Avenue
Grants Pass, OR 97527-5554
Phone
(541) 472-7000
Fax
(541) 789-5393
NPI assigned
Jun 16, 2005
Last updated
Feb 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASANTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Authorized official

Name
Heather Rowenhorst
Title
Chief Finance Officer
Phone
(541) 789-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 14-1439 OR Primary

Addresses

Primary practice location

500 SW Ramsey Avenue
Grants Pass, OR 97527-5554

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-4111

Other identifiers 1

IdentifierTypeStateIssuer
022560MedicaidOR

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040506000367 OR Part B Supplier - Clinic/Group Practice 9931197993 Receives reassigned benefits from 237 practitioners
Practice locations: Grants Pass, OR
O20040625001154 OR Part A Provider - Hospital 9931197993 Practice locations: Grants Pass, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801891809. Details of each certification follow.

Hospital certification: CCN 380002

Legal name
ASANTE THREE RIVERS MEDICAL CENTER LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 18, 2009
Beds
150
Ownership / control type
Other
Organization structure
LLCNon-profit
Enrollment address
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Asante Three Rivers Medical CenterCCN 380002 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Southern Oregon Pediatr6 organizations share this tax ID, including this one
Part of
Southern Oregon Pediatr

Other organizations with this tax ID 5

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

  • Asante
    • General Acute Care Hospital
    • Medford, OR
    • NPI 1124158647
    NPD tax ID
  • Asante

    dba Asante Rogue Regional Medical Center

    • Community/Retail Pharmacy
    • Medford, OR
    • NPI 1225465420
    NPD tax ID
  • Asante

    dba Rogue Valley Medical Center Outpatient Pharmacy

    • Home Infusion Therapy Pharmacy
    • Medford, OR
    • NPI 1497935985
    NPD tax ID
  • Asante

    dba Asante Rogue Regional Medical Center Hospice Services

    • Community Based Hospice Care Agency
    • Medford, OR
    • NPI 1558498279
    NPD tax ID
  • Asante

    dba Heimann Cancer Center

    • Specialty Pharmacy
    • Medford, OR
    • NPI 1699426684
    NPD tax ID

Member of 1

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

  • Asante
    • Psychiatric Hospital Unit
    • Medford, OR
    • NPI 1114002128

    Member Of

    NPD member

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
Asante Organization, Medford, OR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2004 100%
Operational/Managerial Control Nov 21, 2007 100%
Patricia Wintemute Individual Corporate DirectorCommunity Board Member Jan 1, 2020
Stephen D Roe Individual Corporate DirectorBoard Member Jul 17, 2023
Peter Angstadt Individual Corporate DirectorCommunity Board Member Jan 1, 2015
Thomas D Gessel Individual Corporate OfficerAsante President and Ceo Sep 18, 2023
Kaleigh Stetler Individual Corporate OfficerVP, Revenue Cycle & Payer Relati Apr 1, 2025
Thomas Walker Individual Corporate DirectorBoard of Director Jan 1, 2024
Gary Laventure Individual W-2 Managing EmployeePayer Contracting Program Manager Jan 22, 2025
Angie Simonson Individual Corporate OfficerAsante SVP, Coo May 1, 2025
Heather J Rowenhorst Individual Corporate OfficerAsante Chief Finance Officer May 28, 2023

Owners & managing parties with NPI records 5

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

  • Asante
    • Psychiatric Hospital Unit
    • Medford, OR
    • NPI 1114002128

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Asante

    dba Asante Rogue Regional Medical Center Hospice Services

    • Community Based Hospice Care Agency
    • Medford, OR
    • NPI 1558498279

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Asante

    dba Asante Rogue Regional Medical Center Inpatient Rehabilitation

    • Rehabilitation Hospital Unit
    • Medford, OR
    • NPI 1629121512

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Asante

    dba Heimann Cancer Center

    • Specialty Pharmacy
    • Medford, OR
    • NPI 1699426684

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Asante

    dba Asante Rogue Regional Medical Center

    • General Acute Care Hospital
    • Medford, OR
    • NPI 1770587107

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 248

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 248

Affiliated clinicians 667

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

View all 667

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1801891809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "541-789-4111",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVENUE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275554",
            "telephone_number": "541-472-7000",
            "fax_number": "541-789-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE THREE RIVERS MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASANTE",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "ROWENHORST",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "541-789-5098"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14-1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022560",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.