NPIMap

Organization Active NPI

Reedley Community Hospital

  • Rural Health Clinic/Center
  • Kerman, CA
National Provider Identifier
1902823461
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
040000140 Issued in CA
Legal business name
REEDLEY COMMUNITY HOSPITAL
Practice address
1000 S Madera Ave
Kerman, CA 93630-1750
Phone
(559) 587-4349
Fax
(559) 587-4366
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Andrea Kofl
Title
Central Valley Network President
Phone
(559) 537-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 040000140 CA Primary

Addresses

Primary practice location

1000 S Madera Ave
Kerman, CA 93630-1750

Mailing address

PO Box 888806
Los Angeles, CA 90088-8806
Phone (559) 587-4349

Other identifiers 1

IdentifierTypeStateIssuer
RHM18599GMedicaidCA

Other names 2

  • Adventist Health Community Care - Kerman Doing business as
  • Adventist Health Reedley - Kerman Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102001803 CA Part A Provider - Rural Health Clinic 0941460984 Practice locations: Kerman, CA

Rural health clinic certification: CCN 058599

Legal name
REEDLEY COMMUNITY HOSPITAL
Doing business as
ADVENTIST HEALTH REEDLEY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 3, 2004
Last certification
Jan 23, 2019
Ownership / control type
2B
Most recent change of ownership
Dec 1, 2015 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2011 in CA
Enrollment address
1000 S Madera Ave
Kerman, CA 93630-1750
Related CCNs
050192

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0935672Adventist Health Reedley1000 S Madera Ave, Kerman, CA 93630Provider-performed microscopyAug 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Reedley Community Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jason Wells Individual Corporate OfficerPresident Jan 1, 2024
W-2 Managing EmployeePresident Jan 1, 2024
Kerry L Heinrich Individual Corporate DirectorBoard Member Dec 16, 2014
John H Cress Individual Corporate DirectorCorporate Director Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Eric a Stevens Individual Corporate OfficerVice Chair Mar 5, 2025
Heidar Thordarson Individual Corporate OfficerTreasurer Jan 6, 2025
Richard K Reiner Individual Corporate DirectorCorporate Director Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorCorporate Director Oct 1, 2020
Jonathan J Daggett Individual Corporate DirectorCorporate Director Jan 1, 2024
Andrew R Davis Individual Corporate DirectorCorporate Director May 5, 2017
Ann K Beckett Individual Corporate DirectorCorporate Director Jan 1, 2024
Marc K Woodson Individual Corporate DirectorCorporate Director Jan 1, 2019
John C Freedman Individual Corporate DirectorCorporate Director Sep 26, 2016
Jack W Wagner Individual Corporate DirectorCorporate Director Dec 1, 2022
Kenneth Jutzy Individual Corporate DirectorCorporate Director Jan 1, 2024
Bradford C Newton Individual Corporate DirectorCorporate Director Aug 16, 2021
Robert a Cherry Individual Corporate DirectorCorporate Director May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Sep 19, 2011
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control Jan 1, 2012 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1902823461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888806",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301750",
            "telephone_number": "559-587-4349",
            "fax_number": "559-587-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KOFL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CENTRAL VALLEY NETWORK PRESIDENT",
        "authorized_official_telephone_number": "559-537-0056"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "040000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18599G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Community Care - Kerman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Community Care - Kerman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health Reedley - Kerman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.