NPIMap

Organization Active NPI

Oroville Hospital

  • Clinic/Center
  • Oroville, CA
National Provider Identifier
1871697102
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OROVILLE HOSPITAL
Practice address
1611 Feather River Blvd
Suite 10
Oroville, CA 95965-4548
Phone
(530) 534-4530
Fax
(530) 534-4575
NPI assigned
Sep 8, 2006
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mr. Robert J Wentz
Title
Ceo/President
Phone
(530) 533-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1611 Feather River Blvd
Suite 10
Oroville, CA 95965-4548

Mailing address

2767 Olive Hwy
Oroville, CA 95966-6118

Other identifiers 2

IdentifierTypeStateIssuer
BCP08585FMedicaidCA
RHM058585FMedicaidCA

Other names 1

  • Family Practice Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112001222 CA Part A Provider - Rural Health Clinic 1254234339 Practice locations: Oroville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871697102. Details of each certification follow.

Rural health clinic certification: CCN 058585

Legal name
OROVILLE HOSPITAL
Doing business as
FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 2, 2002
Last certification
Apr 6, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1985 in CA
Enrollment address
1611 Feather River Blvd
Ste 9
Oroville, CA 95965-4548
Related CCNs
050030

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Feather River Hospital34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1611 Feather River Blvd
Ste 10
Oroville, CA 95965
Phone (530) 534-4530

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
Colleen Sue Duncan Individual Corporate OfficerCfo Jan 31, 2020
Robert J Wentz Individual Corporate OfficerCeo/President Mar 1, 2004 100%
Corporate DirectorCeo/President Mar 1, 2004 100%
W-2 Managing EmployeeCeo/President Mar 1, 2004 100%
Matthew J Bazzani Individual Corporate OfficerBoard Member Oct 14, 2014
Roy C Shannon Individual Corporate OfficerBoard Member Sep 25, 2014
Sultan M Chopan Individual Corporate OfficerBoard Member Sep 25, 2014
Seng Yang Individual Corporate OfficerBoard Member Feb 1, 2022
Edward R Gilbert Individual Corporate OfficerBoard Member Sep 25, 2014
James H Moll Individual Corporate OfficerBoard Member Sep 25, 2014

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Oroville Hospital Post Acute CenterOroville, CA, CCN 555281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019

Owned or controlled facilities with NPI records 1

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

  • Oroville Hospital

    dba Oroville Hospital Post-Acute Center

    • Skilled Nursing Facility
    • Oroville, CA
    • NPI 1427006485

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 7

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1871697102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 FEATHER RIVER BLVD",
            "address_2": "SUITE 10",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959654548",
            "telephone_number": "530-534-4530",
            "fax_number": "530-534-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROVILLE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-533-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP08585F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM058585F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Practice Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.