Organization Active NPI

K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
National Provider Identifier
1861661365
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
EXEMPT INDIAN TRIBE Issued in CA
Legal business name
K'IMA:W MEDICAL CENTER
Doing business as
Kima-w Medical Center
Practice address
535 Airport Rd
Hoopa, CA 95546-9615
Phone
(530) 625-4261
Fax
(530) 625-9308
NPI assigned
Feb 28, 2008
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KIMA-W MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Mr. David Wickard, CFO
Title
Chief Financial Officer
Phone
(530) 625-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X EXEMPT INDIAN TRIBE CA Primary

Addresses

Primary practice location

535 Airport Rd
Hoopa, CA 95546-9615

Mailing address

PO Box 1288
535 Airport Rd
Hoopa, CA 95546-1288
Phone (530) 625-4261

Other names 1

  • Kima-w Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060216000314 CA Part B Supplier - Ambulance Service Supplier 5496740698 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hoopa, CA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Kima-W Medical Center

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1861661365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "address_2": "535 AIRPORT RD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955461288",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 AIRPORT RD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955469615",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K'IMA:W MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMA-W MEDICAL CENTER",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "WICKARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-625-4261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "EXEMPT INDIAN TRIBE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kima-w Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoopa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.