NPIMap

Organization Active NPI

Curry Health District

Doing business as Curry General Hospital Swing Bed Program

  • Critical Access Hospital
  • Gold Beach, OR
National Provider Identifier
1861676652
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
14-0251 Issued in OR
Legal business name
CURRY HEALTH DISTRICT
Doing business as
Curry General Hospital Swing Bed Program
Practice address
94220 4TH St
Gold Beach, OR 97444-7756
Phone
(541) 247-3000
Fax
(541) 247-3101
NPI assigned
Dec 28, 2007
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
Critical Access Hospital 282NC0060X 14-0251 OR Primary

Addresses

Primary practice location

94220 4TH St
Gold Beach, OR 97444-7756

Mailing address

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

Other names 1

  • Curry General Hospital Swing Bed Program Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000771 OR Part A Provider - Critical Access Hospital 2365352747 Practice locations: Gold Beach, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861676652. Details of each certification follow.

Hospital certification: CCN 38Z322

Legal name
CURRY HEALTH DISTRICT
Doing business as
CURRY GENERAL HOSPITAL SWING BED
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1983 in OR
Enrollment address
94220 Fourth Street
Gold Beach, OR 97444-7756
Other Hospital Practice Location

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).

National Provider Directory

National Provider Directory
Tax ID family
Curry General Hospital4 organizations share this tax ID, including this one
Part of
Curry General Hospital

Other organizations with this tax ID 3

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

Member organizations 2

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Kennedy Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2015
Corporate DirectorBoard Vice Chair Jul 1, 2015 20%
Derral Edward Hawthorne Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021 20%
Virginia a Williams Individual Corporate OfficerChief Executive Officer May 4, 2015 100%
W-2 Managing EmployeeChief Executive Officer May 4, 2015 100%
Operational/Managerial ControlCeo May 4, 2015 100%
Bryan R Grummon Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2019
Corporate DirectorBoard Treasurer Jul 1, 2019 20%
Maarten Van Otterloo Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 29, 2020
Corporate DirectorBoard Chair Jul 29, 2020 20%
Joel Hensley Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2021 20%
Corporate DirectorSecretary Jul 1, 2021 20%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

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 Family MedicalPort Orford, OR, CCN 383990 Rural health clinic Operational/Managerial Control (100%) Aug 20, 2003
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 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1861676652",
    "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": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRY HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CURRY HEALTH DISTRICT",
        "enumeration_date": "2007-12-28",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "14-0251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curry General Hospital Swing Bed Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.