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MAD RIVER COMMUNITY HOSPITAL
NPI 1518996040
General Acute Care Hospital in Arcata, CA

Active since June 30, 2006CLIA 05D0612926 · Accreditation
3800 JANES RD, ARCATA, CA 95521(707) 822-3621(707) 826-8258 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mad River Community Hospital NPPES

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

MAD RIVER COMMUNITY HOSPITAL (NPI 1518996040) is a healthcare organization registered as a general acute care hospital in Arcata, California and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Douglas Allen Shaw, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1518996040
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameAMERICAN HOSPITAL MANAGEMENT CORPORATION
Location Address3800 JANES RDArcata, CA 95521-4742
Mailing AddressPo Box 1115Arcata, CA 95518-1115 · (707) 822-3621 · Fax (707) 826-8258
Phone(707) 822-3621
Fax(707) 826-8258
Organization SubpartNo
Authorized OfficialDouglas Allen ShawChief Executive Officer · (707) 822-7220
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 20, 2019
✔ NPI 1518996040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 110000031
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
3800 JANES RD, Arcata, CA 95521
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Other Names 1

Doing Business AsMad River Community Hospital

Other Identifiers 6

OtherZZZC1209ZCA · Blue Shield Provider #
OtherHST00028FCA · Medi-cal Swing Bed #
Other05-0028CA · Blue Cross Provider #
Other05U028CA · Medicare Swing Bed #
MedicaidHSP40028FCA
MedicaidZZR00028FCA

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 Accreditation 05D0612926

Mad River Community Hospital · Arcata, CA
Active · expires Jan 2, 2027
CLIA Number05D0612926
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Megan J. Smith Zagone
Laboratory Phone(707) 822-7220
Laboratory LocationMad River Community Hospital3800 Janes Road, Arcata, CA 95521
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHOI DUC NGUYEN MD, DO
Family Medicine
3800 JANES RD
ARCATA, CA 95521
Humboldt County (408) 489-4832
DR. RONALD STUART BERMAN M.D.
Anesthesiology
3800 JANES RD
ARCATA, CA 95521
Humboldt County (707) 442-4848
MS. JUDY GOUCHER OTRL, CHT
Occupational Therapist (Hand)
3800 JANES RD
ARCATA, CA 95521
Humboldt County (707) 616-5777
DR. BONNIE D. MACEVOY MD
Specialist
3800 JANES RD
ARCATA, CA 95521
Humboldt County (707) 442-4848
JANIS GRANT RN
Registered Nurse
3800 JANES RD, SUITE 101
ARCATA, CA 95521
Humboldt County (707) 822-1385
DR. JAY MICHAEL DAVIS M.D.
Family Medicine
3800 JANES RD
ARCATA, CA 95521
Humboldt County (707) 826-8264
NORTH PACIFIC CARDIOLOGY MEDICAL
Internal Medicine
3800 JANES RD
ARCATA, CA 95521
Humboldt County (707) 822-3621
PALIWAL DIAGNOSTIC IMAGING
Radiology (Diagnostic Neuroimaging)
3800 JANES RD
ARCATA, CA 95521
Humboldt County (602) 492-1933

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 American Hospital Management Corporation's NPI number?

The NPI number for American Hospital Management Corporation is 1518996040. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Mad River Community Hospital.

Where is American Hospital Management Corporation located?

American Hospital Management Corporation is located at 3800 Janes Rd, Arcata, CA 95521. The listed phone number is (707) 822-3621.

What is American Hospital Management Corporation's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does American Hospital Management Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0612926) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Hospital Management Corporation was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.