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SURPRISE VALLEY COMMUNITY HOSPITAL
NPI 1023194222
Medicare Defined Swing Bed Unit in Cedarville, CA

Active since October 31, 2006
741 NORTH MAIN ST, CEDARVILLE, CA 96104(530) 279-6111(530) 279-2680 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2017, Feb 2, 2017 (2 updates tracked since 2017).

About Surprise Valley Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURPRISE VALLEY COMMUNITY HOSPITAL (NPI 1023194222) is a healthcare organization registered as a medicare defined swing bed unit in Cedarville, California and active in the NPI registry since October 2006. The organization lists Richard Cornwell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023194222
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSURPRISE VALLEY HEALTH CARE DISTRICT
Location Address741 NORTH MAIN STCedarville, CA 96104-0246
Mailing AddressPo Box 246Cedarville, CA 96104-0246 · (530) 279-6111 · Fax (530) 279-2680
Phone(530) 279-6111
Fax(530) 279-2680
Organization SubpartNo
Authorized OfficialRichard CornwellAdministrator · (530) 279-6111
Enumeration DateOctober 31, 2006
Last NPPES UpdateFebruary 7, 20172 updates tracked since enumeration
✔ NPI 1023194222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in CA · 230000025
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Also ListedCustodial Care FacilityTaxonomy 311Z00000X · License 230000025 (CA)
741 NORTH MAIN ST, Cedarville, CA 96104
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Other Names 1

Other NameSurprise Valley Community Hospital

Other Identifiers 2

Medicare OSCAR/certification05Z308CA
MedicaidLTC30676FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0618601

Surprise Valley Health Care District Laboratory · Cedarville, CA
Expired · Jul 31, 2026
CLIA Number05D0618601
Laboratory TypeHospital
Certificate Effective DateNovember 23, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorRobert E. James
Laboratory Phone(530) 279-6111
Laboratory LocationSurprise Valley Health Care District Laboratory741 Main St, Cedarville, CA 96104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surprise Valley Health Care District's NPI number?

The NPI number for Surprise Valley Health Care District is 1023194222. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is also known as Surprise Valley Community Hospital.

Where is Surprise Valley Health Care District located?

Surprise Valley Health Care District is located at 741 North Main St, Cedarville, CA 96104. The listed phone number is (530) 279-6111.

What is Surprise Valley Health Care District's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for Surprise Valley Health Care District was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.