NPIMap

Organization Active NPI

Curry Health District

Doing business as Curry Family Medical

  • Rural Health Clinic/Center
  • Port Orford, OR
National Provider Identifier
1811939093
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CURRY HEALTH DISTRICT
Doing business as
Curry Family Medical
Practice address
525 Madrona St
Port Orford, OR 97465-9552
Phone
(541) 332-3861
Fax
(541) 332-3861
NPI assigned
Jun 12, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CURRY HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Virginia A. Williams
Title
Ceo
Phone
(541) 247-3108

Specialties & licenses 1

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

Addresses

Primary practice location

525 Madrona St
Port Orford, OR 97465-9552

Mailing address

94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000

Other identifiers 1

IdentifierTypeStateIssuer
500400302MedicaidOR

Other names 1

  • Curry Family Medical Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030523000060 OR Part A Provider - Rural Health Clinic 2365352747 Practice locations: Port Orford, OR
O20040109000983 OR Part B Supplier - Clinic/Group Practice 2365352747 Receives reassigned benefits from 63 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookings, OR; Eugene, OR; Gold Beach, OR; West Linn, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811939093. Details of each certification follow.

Rural health clinic certification: CCN 383990

Legal name
CURRY HEALTH DISTRICT
Doing business as
CURRY FAMILY MEDICAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 20, 2003
Last certification
Jul 13, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1983 in OR
Enrollment address
525 Madrona Ave
Port Orford, OR 97465-9552
Related CCNs
381322

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

Other NPIs with the same Medicare PAC ID 3

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.

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
38D0878724Clinical Lab Curry Family Medical525 Madrona Ave, Port Orford, OR 97465Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory
Part of
Curry General Hosptial

Member organizations 2

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

Ownership & related parties

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.

NameRoleSinceShare
Derral Edward Hawthorne Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021 20%
Curry Health District Organization, Gold Beach, OR Corporation, Non-profit Operational/Managerial Control Aug 20, 2003 100%
Virginia a Williams Individual Corporate OfficerCeo May 4, 2015 100%
W-2 Managing EmployeeCeo May 4, 2015 100%
Bryan R Grummon Individual 5% Or Greater Indirect Ownership InterestTreasurer Jul 1, 2019 20%
Deborah Joann Storns Individual 5% Or Greater Indirect Ownership InterestSecretary Jul 1, 2023 20%
Maarten Van Otterloo Individual 5% Or Greater Indirect Ownership InterestChair Jul 29, 2020 20%
Joel Hensley Individual 5% Or Greater Indirect Ownership InterestVice Chair Jul 1, 2021 20%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Curry General HospitalGold Beach, OR, CCN 381322 Hospital Other (100%) Sep 20, 2013
Curry Medical NorthGold Beach, OR, CCN 388555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1811939093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MADRONA ST",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "974659552",
            "telephone_number": "541-332-3861",
            "fax_number": "541-332-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRY HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CURRY HEALTH DISTRICT",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-247-3108"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500400302",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curry Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orford, OR

Sources for this page

Verify at the official NPI Registry.