Active NPI
Peacehealth
Doing business as Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 400223
- Legal business name
- PEACEHEALTH
- Doing business as
- Cottage Grove Community Medical CT
- Practice address
- 1515 Village Dr
Cottage Grove, OR 97424-9700 - Phone
- (541) 686-7191
- NPI assigned
- Sep 21, 2005
- Last updated
- Apr 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Craig Springer II
- Title
- Sys VP Fin Integrity/Controller
- Phone
- (360) 729-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 400223 | OR | Primary |
Addresses
Primary practice location
1515 Village Dr
Cottage Grove, OR 97424-9700
Mailing address
PO Box 569
Eugene, OR 97440-0569
Phone (541) 686-7191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237519 | Medicaid | OR |
Other names 1
- COTTAGE GROVE COMMUNITY MEDICAL CT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NV, CO, NM, PA, TX, GA, OH, NC, CA, TN, VA, IA, MT, FL
Enrollment records 16
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902892391. Details of each certification follow.
Hospital certification: CCN 381301
- Legal name
- PEACEHEALTH
- Doing business as
- COTTAGE GROVE COMMUNITY MEDICAL CT
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 3, 2000
- Last certification
- Jul 12, 2024
- Beds
- 11
- Ownership / control type
- Church
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 1515 Village Dr
Cottage Grove, OR 97424-9700
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Cottage Grove Community Medical CT
- Medicare Defined Swing Bed Hospital Unit
- Cottage Grove, OR
- NPI 1609142595
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Cottage Grove Community Medical CT
- Medicare Defined Swing Bed Hospital Unit
- Cottage Grove, OR
- NPI 1609142595
1254242357
Care Compare: Hospital
Medicare Care Compare- Listed as
- Peacehealth Cottage Grove Community Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Western Lane District H
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Peace Harbor Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Florence, OR
- NPI 1356459606
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
Member Of
Locations
1340 Birch Ave
Cottage Grove, OR 97424
Phone (541) 341-8033
1650 W Virginia St
Ste 202
McKinney, TX 75069
Phone (972) 542-5980
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charlotte Virgia Davenport | Corporate Director | Jul 1, 2016 | |
| Ione S Adams | Corporate Director | Jul 1, 2024 | |
| Leonard W Kearney | Corporate Director | Jan 1, 2011 | |
| Thomas Karnes | Corporate Officer | Jan 27, 2023 | |
| Lorraine Arvin | Corporate Director | Jul 1, 2024 | |
| Danny W Hollingshead | Corporate Director | Jun 1, 2017 | |
| Richard Harry Wollenberg | Corporate Director | Jan 21, 2014 | |
| Timothy Ackman | Corporate Director | Jul 1, 2017 | |
| Carolyn Aaron | Corporate Director | Jan 1, 2021 | |
| Arthur Craig Springer II | Corporate Officer | Nov 3, 2025 | |
| Peacehealth | 5% Or Greater Direct Ownership Interest | Sep 1, 1998 | 100% |
| Linda Lea Jackson | W-2 Managing Employee | Jul 15, 2023 | |
| Richard E Magnuson | Corporate Officer | Jun 16, 2025 | |
| Deleesa Meashintubby | Corporate Director | Jun 30, 2023 | |
| Mary McWilliams | Corporate Director | Sep 24, 2021 | |
| Kathleen Lee Pruitt | Corporate Director | Jul 1, 2015 | |
| Sheila Lemieux | Corporate Director | Sep 27, 2024 | |
| Sarah Marie Ness | Corporate Officer | Jan 3, 2026 | |
| Andrea C Nenzel | Corporate Director | Jul 1, 2015 | |
| Donna King | Corporate Director | Jul 1, 2019 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
5% Or Greater Direct Ownership Interest
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
5% Or Greater Direct Ownership Interest
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cottage Grove Community Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 16, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Cottage Grove Community Medical CT
- Medicare Defined Swing Bed Hospital Unit
- Cottage Grove, OR
- NPI 1609142595
5% Or Greater Direct Ownership Interest
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
Peacehealth
-
dba Sacred Heart-RiverBend
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
Peacehealth
-
dba Sacred Heart Home Health
- Home Health Agency
- Springfield, OR
- NPI 1275524498
Peacehealth
-
dba Peace Harbor Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Florence, OR
- NPI 1356459606
Peacehealth
-
dba Peace Harbor Medical Center
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
Peacehealth
-
dba St. John Medical Center
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
Peacehealth
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Peacehealth
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
Peacehealth
-
dba Peacehealth Southwest Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
Peacehealth
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
Peacehealth
Practitioners & affiliated clinicians
Practitioners 189
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.
-
- Hospitalist Physician
- Springfield, OR
- NPI 1851654776
-
- Emergency Medicine Physician
- Eugene, OR
- NPI 1295757516
-
- Family Medicine Physician
- Eugene, OR
- NPI 1982676730
-
- Emergency Medicine Physician
- Cottage Grove, OR
- NPI 1487271219
-
- Family Nurse Practitioner
- Newport, OR
- NPI 1295279404
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1073957148
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1629567995
-
- Emergency Medicine Physician
- Clackamas, OR
- NPI 1558795971
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1386886083
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1235392366
Single Specialty
-
- Emergency Medicine Physician
- Redmond, OR
- NPI 1235581257
Affiliated clinicians 240
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Springfield, OR
- NPI 1346538360
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Eugene, OR
- NPI 1639564065
Hospital
-
- Hospitalist Physician
- Springfield, OR
- NPI 1154849446
-
- Internal Medicine Physician
- Springfield, OR
- NPI 1336435536
Hospital
-
- Hospitalist Physician
- Springfield, OR
- NPI 1831509371
-
- Hospitalist Physician
- Springfield, OR
- NPI 1750545232
-
- Hospitalist Physician
- Springfield, OR
- NPI 1780813667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1902892391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 569",
"city": "EUGENE",
"state": "OR",
"postal_code": "974400569",
"telephone_number": "541-686-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 VILLAGE DR",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974249700",
"telephone_number": "541-686-7191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "SPRINGER",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
"authorized_official_telephone_number": "360-729-1132",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "OR",
"license": "400223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237519",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COTTAGE GROVE COMMUNITY MEDICAL CT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cottage Grove, OR
- Paws and Reflect Therapeutic Services
- Andrew Evans Paxson, PHARMD
- Peace Health (Cottage Grove Community Hospital)
- Peacehealth (Cottage Grove Community Medical CT)
- Peacehealth (South Lane Medical Group)
- Mary Peckenpaugh
- Eve Peirce, MS, LPC
- Russell Pennington
- Thea E Petersen, MD
- Planned Parenthood of Southwestern Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.