Active NPI
Oneida County Hospital
Doing business as Oneida County Hospital Long Term Care
- Skilled Nursing Facility
- Malad, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- H41
- Legal business name
- ONEIDA COUNTY HOSPITAL
- Doing business as
- Oneida County Hospital Long Term Care
- Practice address
- 150 N 200 W
Malad, ID 83252-1239 - Phone
- (208) 766-2231
- Fax
- (208) 766-4819
- NPI assigned
- May 16, 2006
- Last updated
- Jan 11, 2010
- Organization subpart
- Yes
- Parent organization
- ONEIDA COUNTY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd V Winder
- Title
- Administrator / Ceo
- Phone
- (208) 766-2231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | H41 | ID | Primary |
Addresses
Primary practice location
150 N 200 W
Malad, ID 83252-1239
Mailing address
150 N 200 W
Malad, ID 83252-1239
Phone (208) 766-2231
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002812500 | Medicaid | ID | |
| 01610 | Other | ID | BLUE CROSS OF IDAHO |
| 000010006645 | Other | ID | BLUE SHIELD OF IDAHO |
Other names 1
- ONEIDA COUNTY HOSPITAL LONG TERM CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050708000884 | ID | Part A Provider - Skilled Nursing Facility | 3476459108 | Practice locations: Malad City, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811949431. Details of each certification follow.
Skilled nursing facility certification: CCN 135062
- Legal name
- ONEIDA COUNTY HOSPITAL
- Doing business as
- NELL J REDFIELD MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1975
- Last certification
- Nov 7, 2024
- Beds
- 33
- Ownership / control type
- County
- Organization structure
- Other
- Enrollment address
- 150 N 200 W
Malad City, ID 83252-1239 - Nursing home name
- ONEIDA COUNTY HOSPITAL & LONG TERM CARE FACILITY
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Rural Health Clinic
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1225276454
3476459108
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oneida County Hospital & Long Term Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Aug 1, 1975
- Medicare certification status
- Active
- Certified beds
- 33
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2192101 | Oneida County Long-Term Care | Certificate of waiver | Sep 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Oneida County Hospital Physicians Group
- Part of
- Oneida County Hospital Physicians Group
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Malad City, ID
- NPI 1023603156
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
-
- Emergency Medicine Physician
- Malad, ID
- NPI 1043262082
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dan K Bastian | Operational/Managerial Control | Mar 20, 2024 | |
| Von Bean | Operational/Managerial Control | Dec 4, 2024 | |
| Sharee Blaisdell | Operational/Managerial Control | Oct 26, 2022 | |
| Robert Hannah | Operational/Managerial Control | Jun 28, 2023 | |
| Oneida County Hospital | Operational/Managerial Control | Jul 1, 1999 | |
| Adp of the SNF | Jul 10, 2025 | ||
| Cindy Howard | Operational/Managerial Control | Jun 2, 1992 | |
| Adp of the SNF | Jun 1, 1992 | ||
| County of Oneida | 5% Or Greater Direct Ownership Interest | Jul 1, 1999 | 100% |
| Adp of the SNF | Jul 1, 1999 | ||
| Krista Karn | Operational/Managerial Control | Sep 24, 2019 | |
| Shellee Daniels | Operational/Managerial Control | Jan 17, 2019 | |
| James Pickett | Operational/Managerial Control | Jan 26, 2015 | |
| Adp of the SNF | Jan 26, 2015 | ||
| Karren Edwards | Operational/Managerial Control | Mar 15, 2023 | |
| Adp of the SNF | Mar 15, 2023 | ||
| John H Williams | Operational/Managerial Control | Mar 22, 2013 | |
| Adp of the SNF | Mar 22, 2013 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Land Ambulance
- Malad City, ID
- NPI 1770788929
5% Or Greater Direct Ownership Interest, Adp of the SNF
-
dba Rural Health Clinic
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1225276454
Adp of the SNF, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
Adp of the SNF, Operational/Managerial Control
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
Adp of the SNF, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1710041785
Adp of the SNF, Operational/Managerial Control
-
- Family Medicine Physician
- Malad City, ID
- NPI 1275735045
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oneida County Hospital | Rural health clinic | Operational/Managerial Control (100%) | Jul 1, 2006 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1710041785
Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
County of Oneida
-
- Rural Health Clinic/Center
- Malad City, ID
- NPI 1710041785
County of Oneida, Oneida County Hospital
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1811949431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N 200 W",
"city": "MALAD",
"state": "ID",
"postal_code": "832521239",
"telephone_number": "208-766-2231",
"fax_number": "208-766-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N 200 W",
"city": "MALAD",
"state": "ID",
"postal_code": "832521239",
"telephone_number": "208-766-2231",
"fax_number": "208-766-4819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONEIDA COUNTY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ONEIDA COUNTY HOSPITAL",
"enumeration_date": "2006-05-16",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "WINDER",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ADMINISTRATOR / CEO",
"authorized_official_telephone_number": "208-766-2231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": "H41",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002812500",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "01610",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010006645",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ONEIDA COUNTY HOSPITAL LONG TERM CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Malad, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.