NPIMap

Organization Active NPI

Southern Inyo Healthcare District

  • Critical Access Hospital
  • Lone Pine, CA
National Provider Identifier
1831128602
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
240000205 Issued in CA
Legal business name
SOUTHERN INYO HEALTHCARE DISTRICT
Doing business as
Southern Inyo Healthcare District
Practice address
501 E. Locust Street
Lone Pine, CA 93545
Phone
(760) 876-5501
Fax
(760) 876-4388
NPI assigned
Jul 2, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Peter Spiers
Title
Chief Executive Officer
Phone
(760) 876-5501

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 240000205 CA
Critical Access Hospital 282NC0060X 240000205 CA Primary
Skilled Nursing Facility 314000000X 240000205 CA

Addresses

Primary practice location

501 E. Locust Street
Lone Pine, CA 93545

Mailing address

PO Box 1009
Lone Pine, CA 93545-1009
Phone (760) 876-5501

Other identifiers 5

IdentifierTypeStateIssuer
MTN01039FMedicaidCA
ZZT30388FMedicaidCA
LTC55527FMedicaidCA
RHM18511FMedicaidCA
ZZT40388FMedicaidCA

Other names 2

  • Southern Inyo Healthcare District Doing business as
  • Southern Inyo Hospical Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mperkins@sihd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20030422000075 CA Part A Provider - Skilled Nursing Facility 7911816731 Practice locations: Lone Pine, CA
O20030422000077 CA Part A Provider - Rural Health Clinic 7911816731 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lone Pine, CA
O20040317000188 CA Part B Supplier - Clinic/Group Practice 7911816731 Receives reassigned benefits from 99 practitioners
1 other NPI on this enrollment
Practice locations: Lone Pine, CA
O20061104000138 CA Part A Provider - Critical Access Hospital 7911816731 Receives reassigned benefits from 2 practitioners
Practice locations: Lone Pine, CA
O20061213000614 CA Part A Provider - Critical Access Hospital 7911816731 Practice locations: Lone Pine, CA

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1831128602. Details of each certification follow.

Skilled nursing facility certification: CCN 555527

Legal name
SOUTHERN INYO HEALTHCARE DISTRICT
Doing business as
SOUTHERN INYO HOSPITAL SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 3, 1992
Last certification
Jul 12, 2024
Beds
33
Ownership / control type
Hospital District
Organization structure
OtherNon-profit
Incorporated
May 14, 1949 in CA
Enrollment address
501 E Locust St
Lone Pine, CA 93545-8044
Nursing home name
SOUTHERN INYO HOSPITAL D/P SNF

Rural health clinic certification: CCN 058511

Legal name
SOUTHERN INYO HEALTHCARE DISTRICT
Doing business as
SOUTHERN INYO RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 9, 1995
Last certification
Jul 10, 2013
Ownership / control type
Non-profit – church related
Organization structure
OtherProprietary
Incorporated
Jul 5, 1949 in CA
Enrollment address
510 E Locust Street
Lone Pine, CA 93545-1009
Related CCNs
051302

Hospital certification: CCN 051302

Legal name
SOUTHERN INYO HEALTHCARE DISTRICT
Doing business as
SOUTHERN INYO HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2001
Last certification
Sep 7, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherProprietary
Incorporated
Jul 5, 1949 in CA
Enrollment address
501 E Locust St
Lone Pine, CA 93545-8044
Main/Primary Hospital Location

Hospital certification: CCN 05Z302

Legal name
SOUTHERN INYO HEALTHCARE DISTRICT
Doing business as
SOUTHERN INYO HOSPITAL
Organization structure
OtherProprietary
Incorporated
Jul 5, 1949 in CA
Enrollment address
501 E Locust Street
Lone Pine, CA 93545-1009
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Southern Inyo HospitalCCN 051302 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
Southern Inyo Hospital D/p SnfCCN 555527 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Dec 3, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3324.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2080 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-7959

Interoperability endpoints

  • Direct secure messaging: mperkins@sihd.org

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
Maritza Perkins Individual W-2 Managing EmployeeAdministrative Assistant Dec 8, 2017
Corporate DirectorExecutive Director of Admin SVCS. Dec 1, 2017
Jaque Hickman Individual Corporate DirectorDirector Jan 1, 2018 100%
Corporate DirectorBoard President Jan 1, 2018 100%
Corporate DirectorBoard Director Jan 1, 2018 100%
Southern Inyo Healthcare District Organization, Lone Pine, CA Operational/Managerial Control Aug 1, 2019 100%
5% Or Greater Direct Ownership Interest Jan 1, 1966
Direct Ownership Interest Jan 1, 1966 100%
Other Jan 1, 1966 100%
Kevin Flanigan Individual Contracted Managing EmployeeAd; Aug 18, 2025 100%
Corporate OfficerCeo Aug 18, 2025 100%
W-2 Managing EmployeeAd; Aug 18, 2025 100%
Operational/Managerial ControlCeo Aug 18, 2025 100%
5% Or Greater Direct Ownership InterestCeo Aug 18, 2025 100%
Operational/Managerial Control Aug 18, 2025
Adp of the SNF Aug 18, 2025
Todd a Farrer Individual Corporate DirectorSNF Medical Director Apr 10, 2018
Operational/Managerial Control Apr 10, 2018
Adp of the SNF Jul 15, 2025
Jason Kennedy Individual Corporate OfficerChief Nursing Officer Jun 30, 2024 100%
Corporate DirectorSNF Don Oct 28, 2024 100%
Peter Spiers Individual Contracted Managing EmployeeCeo Jul 30, 2019 100%
Corporate OfficerCeo Jul 30, 2019 100%
Operational/Managerial ControlCeo Jul 30, 2019 100%
Yarenith Hernandez Individual W-2 Managing EmployeeMedical Staff Coordinator Jan 13, 2016

Owners & managing parties with NPI records 3

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

  • Todd Allen Farrer, M.D.
    • Family Medicine Physician
    • Bakersfield, CA
    • NPI 1659380657

    Adp of the SNF, Corporate Director, Operational/Managerial Control

    CMS ownership
  • Kevin Sean Flanigan, MD
    • Internal Medicine Physician
    • Ridgecrest, CA
    • NPI 1003987587

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Contracted Managing Employee, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership
  • Southern Inyo Healthcare District
    • Rural Health Clinic/Center
    • Lone Pine, CA
    • NPI 1063589174

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

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Southern Inyo Rural Health ClinicLone Pine, CA, CCN 058511 Rural health clinic Other (100%) Jan 1, 1966

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 100

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 100

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1831128602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "LONE PINE",
            "state": "CA",
            "postal_code": "935451009",
            "telephone_number": "760-876-5501",
            "fax_number": "760-876-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E. LOCUST STREET",
            "city": "LONE PINE",
            "state": "CA",
            "postal_code": "93545",
            "telephone_number": "760-876-5501",
            "fax_number": "760-876-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INYO HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "SPIERS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-876-5501"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "240000205",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "240000205",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01039F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30388F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55527F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18511F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40388F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mperkins@sihd.org",
            "affiliation": "N",
            "endpointDescription": "PO Box 1009, Lone Pine, CA 93545",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 E. Locust Street",
            "city": "Lone Pine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southern Inyo Healthcare District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Inyo Hospical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lone Pine, CA

Sources for this page

Verify at the official NPI Registry.