NPIMap

Organization Active NPI

John C Fremont Healthcare District

  • Skilled Nursing Facility
  • Mariposa, CA
National Provider Identifier
1861615387
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000108 Issued in CA
Legal business name
JOHN C FREMONT HEALTHCARE DISTRICT
Practice address
5189 Hospital Rd
Mariposa, CA 95338-9524
Phone
(209) 966-3631
Fax
(209) 966-3776
NPI assigned
Apr 11, 2007
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Alan G Macphee
Title
Chief Executive Officer
Phone
(209) 966-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000108 CA Primary

Addresses

Primary practice location

5189 Hospital Rd
Mariposa, CA 95338-9524

Mailing address

PO Box 216
Mariposa, CA 95338-0216
Phone (209) 966-3631

Other names 1

  • John C Fremont Hospital - SNF Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000193 CA Part B Supplier - Clinic/Group Practice 5890689533 Receives reassigned benefits from 22 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coulterville, CA; Mariposa, CA
O20060410000287 CA Part A Provider - Skilled Nursing Facility 5890689533 Practice locations: Mariposa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861615387. Details of each certification follow.

Skilled nursing facility certification: CCN 055283

Legal name
JOHN C FREMONT HEALTHCARE DISTRICT
Doing business as
JOHN C FREMONT HOSPITAL - SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Aug 8, 2024
Beds
16
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Incorporated
May 26, 1947 in CA
Enrollment address
5189 Hospital Rd
Mariposa, CA 95338-9524
Nursing home name
JOHN C. FREMONT HEALTHCARE DISTRICT DP/SNF

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
John C. Fremont Healthcare District DP/SNFCCN 055283 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
1615.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
John C Freemont Hosp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

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
Wendy Lou Ryder-Priola Individual Managing Control - Governing Body Dec 2, 2022
Mimi E Carter Individual Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Teresa Johnson Individual Managing Control - Governing Body Dec 2, 2024
John C Fremont Healthcare District Organization, Mariposa, CA 5% Or Greater Direct Ownership Interest Oct 7, 1979 100%
Operational/Managerial Control Oct 7, 1979
Adp of the SNF Oct 7, 1979
Jesse Bullis Individual Managing Control - Governing Body Dec 2, 2024
Rachel Key Individual Operational/Managerial Control Oct 28, 2024
Adp of the SNF Oct 28, 2024
Rose Ann Fluharty Individual Managing Control - Governing Body Dec 2, 2022

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
John C Fremont Healthcare DistrictMariposa, CA, CCN 051304 Hospital Operational/Managerial Control (100%) Oct 22, 2025
John C Fremont Healthcare DistrictMariposa, CA, CCN 05Z304 Hospital Other Aug 29, 1996
John C Fremont Healthcare RHCMariposa, CA, CCN 058605 Rural health clinic Other Aug 29, 1996
John C Fremont Healthcare DistrictMariposa, CA, CCN 053992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1994
John C. Fremont Healthcare District - Northside ClinicCoulterville, CA, CCN 058730 Rural health clinic Operational/Managerial Control Dec 10, 2007

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1861615387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380216",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C FREMONT HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "MACPHEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-966-3631"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C Fremont Hospital - SNF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mariposa, CA

Sources for this page

Verify at the official NPI Registry.