Harney District Hospital
Organization Active NPI Multi-Specialty Clinic/Center · Burns, OR
NPI 1972113306 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1972113306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- HARNEY DISTRICT HOSPITAL
- Practice address
- 271 N Egan Ave
Burns, OR 97720-1733 - Phone
- (541) 573-7281
- NPI assigned
- Jul 31, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- HARNEY DISTRICT HOSPITAL
Authorized official
- Name
- Robert D Gomes
- Title
- Ceo
- Phone
- (541) 573-7281
Owners & managing parties with NPI records 3
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Related certifications (CCN) 2
Practitioners 81
-
Hugh R Adair III, D.O.
-
Brad Anderson, M.D.
-
Zachary Max Bailey, M.D.
-
James Robert Ballard, M.D.
-
John Adam Bonk, MD
-
Peter Cabala, D.O.
-
Spencer A. Clarke, M.D.
-
Bradley Robert Close, CRNA
-
Kenneth Charles Dirk, M.D.
-
Tori Nicole Garner, RD, LD
-
Paula J Godfrey, D.O.
-
Christopher A Green, CRNA
-
Melissa T Gunasekera, M.D.
-
Carson N Harper, MD
-
Jesse Jarnes, CRNA
-
Kevin Johnston, MD
-
Corey B Kahn, DO
Affiliated clinicians 163
-
Brad Anderson, M.D.
-
Victoria Winter Anderson, PA-C
-
Alyssa Argabright, PA-C
-
Justin Badal, MD
-
Zachary Max Bailey, M.D.
-
James Robert Ballard, M.D.
-
Michael L Bell, M.D.
-
Matthew Ross Bentz, M.D.
-
Ryan E Berecky, MD
-
Michelle T Black, MD
-
Timothy S Bollom, MD
-
John Adam Bonk, MD
-
Taylor Brown, MD
-
Jozef M. Brozyna, D.O.
-
Peter Cabala, D.O.
-
Leonardo A Campos, M.D.
-
Kenna Nicole Cardin, PA-C
-
Mary Fiona Carroll, M.D.
Medicare Care Compare: Hospital
- Listed as
- Harney District Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2203738 | Harney District Hospital - Dermatology | Compliance | May 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Hospital certification: CCN 381307
- Legal name
- HARNEY DISTRICT HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2001
- Last certification
- Apr 29, 2017
- Beds
- 44 (25 certified)
- Ownership / control type
- Hospital district or authority
- Organization structure
- Government · Non-profit
- Incorporated
- Jul 1, 1990 in OR
- Enrollment address
- 557 W Washington St
Burns, OR 97720-1441
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Brown |
Corporate Director |
Sep 16, 2014 | |
| Anna C Vloedman |
Corporate Director |
Sep 16, 2014 | |
| Dave Ferre |
Corporate Director |
Jul 1, 2019 | |
| Elaine Wulff |
Corporate Officer |
Sep 1, 2015 | |
| Daniel W Grigg |
Operational/Managerial Control |
Jul 1, 2015 | 100% |
| Shana Withee |
Corporate Director |
Sep 16, 2014 | |
| Sharon J Davis |
Corporate Director |
Aug 26, 2015 | |
| Harney District Hospital |
Operational/Managerial Control | Jul 1, 1990 | 100% |
| Catherine White |
Corporate Officer |
Sep 16, 2014 | |
| Robert a Frank |
Corporate Director |
Jul 1, 2017 | 100% |
| Susan Doverspike |
Corporate Director |
Feb 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000077 | OR | Part B Supplier - Clinic/Group Practice | 6800877424 |
Receives reassigned benefits from 88 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burns, OR; Hines, OR; John Day, OR |
| O20061104000508 | OR | Part a Provider - Critical Access Hospital | 6800877424 |
Receives reassigned benefits from 63 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burns, OR |
National Provider Directory
- Tax ID family
- Harney District Hospita
- Part of
- Harney District Hospita
Locations
271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301
210 Roe Davis Ave
Hines, OR 97738
Phone (541) 573-2074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Critical Access Hospital | 282NC0060X |
Addresses
Primary practice location
271 N Egan Ave
Burns, OR 97720-1733
Mailing address
557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-4099
Other names
- NewSun Energy & Harney District Hospital Specialty Care
Other providers in Burns, OR
- Harney District Hospital
- Harney District Hospital
- Harney District Hospital
- Harney District Hospital
- Harney District Hospital
- Bobbi Jo Hart
- Debra Hawkins
- Mary Hayes
- Melinda M Hemphill
- High Desert Medical Center
All providers in Burns, OR · Multi-Specialty Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.